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I <br /> �J HOUSE HEATING TEST RECORD (,j4,3 <br /> ADDRESS a 91 4�ZcX w�i-L— APT. FLOOR CITY SUBURB °T'S''� <br /> OCCUPANT 60/-4'44- A pi 4 h //s-e-/z-,._ OWNER <br /> HEAT LOSS DATE HTG. INST. �� <br /> SOLD BY M '''-.--- I tE\)D /--: <br /> Electrical Work By Nai"r/"Sa-,1 L"4 , is Ilk 0 aas Line By <br /> TYPE OF HEAT GA FA —HW STEAM _ SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN C CONVERSION <br /> MAKE 'IC ,,.f -54.'' MAKE OF BURNER <br /> Model /!/6(Git 075- G/p"/ Model <br /> Serial 1 4'4/h/4/ 95-0/1 Max. BTU Rating <br /> INPUT ,c ej" MAKE OF FURNACE <br /> Model <br /> U CONTROLS i( <br /> THERMOSTAT ,/ Heat Plug .-- S Vent Size <br /> Valve //-4/ KIND OF LINER SIZE NONE 4 <br /> Limit y Draft Hood RegulaTor <br /> Limit Setting al7e1 / Filters Size //1'.(' ' k t Number/ <br /> Fan Setting //rk Chimney Location Inside ,y' Outside <br /> Pilot Type /len"y 53.Z., Chimney Construction P// <br /> Pilot Make H-i <br /> Pilot Model Smoke Bomb/ Wiring <br /> \ <br /> Pilot Timing 1090/c.Y/-� 4-4--� Draft ww Test Tag A_ <br /> L.W. Cut Off Door Pressure Lighting Inst.r'----- <br /> Pressure ?-C----- Percent CO2 7 Date Tested 1 a ` C/ <br /> Input CFH Percent 02 oCompany Testing �S -/nj�?/ �_ <br /> Stack Temp. /6,a Percent CO d Name of Tester ' �1; <br /> Form 235 <br />