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HOUS HEATINGnTEST RECORD 3 <br /> ADDRESS 0100 `JO0 D 41"( �" J2or u APT. FLOOR CITY SUBURB O Ukk <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. f <br /> SOLD BY INSTALLED BY `w66 7 l g�� 2 <br /> Electrical Work By Gas Line By �2-CTit- <br /> TYPE OF HEAT GA FA \ HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE 4114 14 /1 A MAKE OF BURNER <br /> Mod•I Gu(./T 070 4X )0 Model / <br /> 101 <br /> Serial (Art) f�� Max. BTU Rating <br /> INPUT 7U,OC MAKE OF FURNACE Ltd 1 fl I9 j 5 <br /> Model _ <br /> °,'ili Lit 1 1. <br /> THERMOSTAT iI� CONTROLS <br /> ? Heo,, Plug Vent Si:•_ <br /> Valve W 2 3 r� .2- KIND OF LINER SIZE N,ONF 1( <br /> Limit `� v'1 Draft Hood IVO k#2.- Regulator Lift: k-L'(r' U <br /> Limit Setting 1i-i)° Filters Size Number <br /> Fan Setting Dlittill gi' Y Chimney Location Inside X Outside <br /> .r <br /> Pilot Type c(.� H' Chimney Construction iii f V c <br /> Pilot Make bi-. `�'�`'t <br /> 7 Smoke Bomb Wiringi -.,- <br /> PilotPilot Model <br /> Pilot Timing & SCA Draft // Test Tag <br /> L.W. Cut Off Doer Pressure Lighting Inst. c. <br /> Pressure 3i ( Percent CO2 .11)--- Date Tested /( /, <br /> 70) a° <br /> Input CFH 0 a v Percent 02 S/ Company Testing �0 &t //11�_ <br /> Stack Temp. f`7 Percent CO 0,c) Name of Tester .7I `A 1t <br />