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HOUSE HEATING TEST RECORD Q� <br /> ADDRESS r ` �j •T `��Mre� "'" APT. FLOOR CITY SUBURB <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. 1 / <br /> SOLD BY INSTALLED BYyo&1 77 C Cf c i <br /> Electrical Work By Gas Line By Sr+(--f~ <br /> TYPE OF HEAT GA FA-Z—HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE <br /> r7""'�h�" MAKE OF BURNER <.'': .` ry:k <br /> Model -C)C-67 Q'10 qA 3 0 Model <br /> X111104 <br /> Serial Max. BTU Rating <br /> INPUT U�6V MAKE OF FURNACE ul- <br /> Model _ \1� <br /> CONTROLS ') y <br /> THERMOSTAT " Heat Plug Vent Size_ D� <br /> Valve agIz- KIND OF LINER SIZE NOCNIF <br /> Limit U. Draft Hood 140 ti� Regul. 1 <br /> v <br /> Limit S.Hinq '_�w Filters Size --Number <br /> Fan Setting n�� Chimney Location Inside X Outside <br /> �i <br /> Pilot Ty p. St)Q WF_ Chimney Construction <br /> Pilot Make n <br /> Pilot Model 0077 Smoke Bomb Wiring <br /> Pilot Timing Sb Draft Test Tog <br /> L.W. Cut Off Door Presses. Lighting Inst. <br /> Pressure 1 P.reent CO � 1 Date Tad t• d�- <br /> Input CFHPercent 02 �td Company Testing d ` r <br /> Stack Temp. Percent CO 0,0 Nam.of Tester <br />