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/�? / HODUSEE� HEATING TEST RECORD <br /> ADDRESS /Ll l GI l.-{.'. /t/� -'(fc ) f e., • APT. FLOOR l[��CITY C�E4'r14" SUBURB <br /> OCCUPANT( OWNER �yh'=r'1 beC,'yl Ys <br /> HEAT LOSS DATE HTG. INST. / 4162; <br /> SOLD BY INSTALLED BY 4-(1-4.- <br /> Electrical Work By Gas Line By <br /> TYPE OF HEAT GA FA x' NW STEAM SPACE HTR. UNIT HTR. OTHER <br /> �' <br /> GAS,DESIGN CONVERSION <br /> MAKE �t G of _ MAKE OF BURNER <br /> Model K G/ / IQ-4 ---�_S Model <br /> Serial F ) - 70 Z/".26.020(19S/ Max. BTU Rating <br /> INPUT 01:./ 0°'') MAKE OF FURNACE <br /> Model <br /> CONTROLS -, <br /> THERMO TAT rV� Heat Plug Vent Size .) <br /> Valve /S ''ti 1/ e :?G' j 2Zi 6KIND OF LINER SIZE NONE <br /> Limit (((���� Draft Hood Regulator 3 ."5---- 4-V L <br /> Limit Setting Life Filters Size X761 (25",4 I Number <br /> Fan Setting Q M Chimney Location Inside-_ ' <br /> ��� Outside <br /> Pilot Type /-)51.- Chimney Construction , '`<— <br /> Pilot Make <br /> Pilot Model1 Smoke Bomb Wiring <br /> Pilot Timing Draft Test Tag <br /> L.W. Cut Off Door Pressure Lighting Inst. <br /> ! <br /> Pressure . 3'' 6' Percent CO L%/ Date Tested /2 '`1"''i 3 <br /> 3 <br /> ?C C'6c-- 2 <br /> Input CFH �' Percent 02 l ) Company Testing #4:)i i.C.-` <br /> Stack Temp. / 0 y G' Percent CO Name of Tester f:::1- <br /> Form 235 Form#5 <br />