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ADDRESS a' 6 � e_ f <br />OCCUPANT <br />HEAT LOSS DATE HTG. INST. <br />SOLD BY — <br />Electrical Work By _ <br />TYPE OF HEAT GA FA HW <br />HOUSE F'EATING TEST RECORD <br />LA -4" _. APT. FLOOR CITY <br />-?^-ti __ OWN E R - <br />INSTALLED BY <br />Goa Line By <br />---.---STEAM --.----SPACE HTR. ----- UNIT HTR, <br />OTHE R <br />SUBURB (•-&e_!'LX*%' <br />F cwm 235 <br />S DESIG <br />CO%VERSION <br />MAKE__ <br />/ �� <br />MAKE OF BURNER <br />Model .t/ i4G <br />4zgo _1?,A� .--Modal <br />Social G� �� <br />� 7/9 S _.� <br />Max. BTU Rating— <br />INPUT Oe e' <br />MAKE OF FURNACE— <br />Model - -- - --- - ------ <br />CONTROLS <br />THERMOSTAT <br />Heat PIu9___ <br />_ Vent Size <br />Valve <br />KIND OF LINER k211 <br />SIZE 17—NONE — <br />Limit <br />Draft Hood ___ <br />Regulator -_ <br />Limit Setting % �� �� <br />Fi Iters <br />__ <br />—Number --Z-- <br />___ __ <br />Fan Setting <br />Chimney Location Inside _ __ _ Outside <br />Pilot Type <br />Chimney Construction <br />Pi lot Make — <br />- - --- -- <br />Pilot Model <br />Smoke Bomb <br />Wiring - <br />Pilot Timing — <br />-- ---- --- -- --- ---- <br />Druft ----_ - -- ---- <br />Test Top -_- - - - ----- ----- <br />L.W. Cut Off __-- <br />---- <br />Door Pressure ___ ____ <br />_____ Lighting Inst. <br />Pressure <br />Percent CO2 ----- ' ------ -_ <br />Date Tested_— <br />Input CFH _ .-_--------._--_ <br />.__ Percent 02 _ _Lc_ _ <br />_- Company Testing <br />Stack Temp. - ----- Percent CO -- --- - <br />-- Name of Tester <br />F cwm 235 <br />