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HOUSE HEATING TEST RECORD
<br /> 4 a i
<br /> ADDRESS ,1 "/"-5-& /6/10e,iiii -)
<br /> rAt...-• ......."...4- APT. 1,1-00 R CITY '- 7 SUBURB
<br /> OCCUPANT OWNER A i 017 L-6---4,,,..„,itodfor
<br /> HEAT LOSS DA,T#41TG.,,p4ST. A7
<br /> -6/ .; 'd „4
<br /> , , . s,
<br /> SOLD BY 9 Ai •C re,/rt' ''. 4 e...— t;,I/ INSTALLED BY ft 49' 2.... 171#",--0-6,1
<br /> Electrical Work By Gas Line By c
<br /> TYPE OF HEAT GA FA Y 11W STEAM SPACE HTR. UNIT HTR. OTHER
<br /> GAS DESIGN CONVERSION /
<br /> MAKE ..,, / 1... /Li...S7116164"' MAKE OF BURNER I
<br /> Model '7,4t4.7 ii--,44 - 7i Model ..
<br /> Seria I /7 r.,1}7,;(9 Max. BTU Rating
<br /> INPUT Y't a (
<br /> / MAKE OF FURNACE DEC 2 8 1990
<br /> Model
<br /> 7... CONTROLS ./. r
<br /> 1
<br /> j„..,"/6r,
<br /> ----
<br /> THERMOSTAT / 45 ' Heat Plug Vent Size
<br /> Valve /:';')la•''' """*"4' ',hi. //i7 KIND OF LINER SIZE NONE
<br /> •
<br /> Limit .4./(/ ,,,/
<br /> Draft HoodRegularor
<br /> Limit Setting ,I, ^-•^51,19-.. 4,0(.> Filters Se ././, at , .
<br /> iztcf i Number /
<br /> Fan Setting `).-i ' 2 Chimney Location InsVe),. Oltsijie I/
<br /> Pilot Type ,,„... -5- / Chimney Construction ' ..t. fii/6
<br /> ---
<br /> Pilot Make e- /
<br /> 1
<br /> Pilot Model __............/
<br /> , pl.e • Smoke Bomb
<br /> / Wiring
<br /> //
<br /> Pilot Timing
<br /> / Draft
<br /> ../ Test Tag
<br /> L.W. Cut Off Door Pressure Lighting Inst.
<br /> 6./
<br /> „eft /V *41 .--,C''
<br /> Pressure -311 .1; Percent CO2 Date Tested -)
<br /> Input CFH siv /16:, Percent 02 ,, AI Company Testing ' ''
<br /> A..- iff..S--7141 /--1-- ,,,/ 'i, -"
<br /> - 5 , ' 1 '
<br /> Stack Temp //4/i if Percent CO Name of Tester :-- .1...., -- .60?. - .-e---/
<br /> Form 235 .•-."'
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