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'�7 / HOUSE HEATING TEST RECORD ;' ' / <br /> ADDRESS .MFk' C L�"f' I41, / C' , 'APT. FL00 CITY a 44 <br /> OCCUPANT ( C 4 �—��- SUBURB <br /> OWNER , �! ' lV t <br /> HEAT LOSS ___ DATE HTG. INST._ <br /> SOLD BY 'nfrf 31---, INSTALLEDt � ily <br /> Br /t/ / Ci' .+:1 <br /> Electrical Work Bti�ibA %ito4flp./1,70 <br /> ' Gas Line By <br /> TYPE OF HEAT GA FA ***** FIW STEAM SPACE HTR. UNIT HTR. OTHER /t...464t". <br /> G S DESIGN CONVERSION <br /> MAK ' �Ip MAKE OFBURNER ,r,,,...- <br /> Model <br /> �r r� Model ..+.''� <br /> Serial 1 2 / > / � / O F Max. BTU Rating <br /> INPUT � /41m MAKE OF FURNAC <br /> Moder-- 41r,., <br /> CONTROLS /#14THERMOSTAT ' + 0$h(-Plug Vent Size / G' <br /> Valve pPtc,�1ut1''� / KIND OF LINER SIZE NONE <br /> Limit 70447i'f1W7- +ft Draft Hood /4�UilrZ Regulator <br /> Limit Setting 2°O' tit? Filters Size / Number <br /> Fan Setting r'"t�! c /fAel <br /> a 714441,,, ie Chimney Location 1 Outside <br /> Pilot Type vfJ , Chimney Construction �e•-- <br /> Pilot Make t <br /> Pilot Model ''i 9A `d Smoke Bomb Wel Wiring r <br /> Pilot Timing tc''7 O ✓/(' Draft r Test Tag <br /> L.W. Cut Off Door Pressure.'"""°""-- Lighting Inst. `,"''..- <br /> Pressure �'5�'WC"- <br /> W C' Percent CO -y_..-71._t <br /> /J • <br /> Input CFH /0 2�,�t Date Tested ice//!�Z O� <br /> P �� Percent 02 • �4m? Company Testing Ali-44/C."/ie), .$ 'S2.YS <br /> Stack Temp. Percent CO Q. o% Name of Tester - A�� / T <br /> Form 235 <br />