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ADDRESS 6rc <br />OCCUPANT J -06y <br />HEAT LOSS <br />SOLD BY <br />Electrical Work By <br />TYPE OF HEAT GA <br />HOUSE HEATING TEST RECORD <br />APT. <br />OWNER <br />DATE HTG. INST. <br />FLOOR CITY SUBURB <br />INSTALLED BY _ <br />Gas Lino By t <br />FA _,C --HW _STEAM SPACE HTR. _ UNIT HTR. OTHER <br />RA GAS DESIGN <br />MAKE _ _—M BURNER <br />Modal Model <br />Serial Max. BTU Rating — <br />INPUT —___ _ MAKE O <br />CONVERSION <br />,60 well CONTROLS <br />Model _ _-- <br />i/ <br />Vent Size <br />THERMOSTAT <br />Heo _-- <br />Valve B <br />if <br />KIND OF LINER _ _ SIZE NONE <br />Limit <br />2 <br />Draft Hood 4L``k Regulator - � <br />Limit Setting �� <br />Filters Sise/6 1� % Number <br />Fan Setting f w! <br />-A "t- �'- A55 <br />Chimney Location Insiiddo, ot Outside <br />Pilot Type `00 see M4 <br />4C----- - <br />Chimney Construction C*j S <br />Pilot Make A40 193e Wit Y <br />-- <br />Pilot Model ` '� <br />Smoke Bomb <br />__ _ _ <br />Pilot Timing �/.. -�� <br />_--- —_— <br />Droft ____ __ _ —_._.Test Tog_— <br />L.W. Cut Off .. __-- <br />— -_ __-- <br />Door Pressure ____ _.______._—_-__Lighting Inst. L� <br />% <br />Pressure 3/W`- <br />Percent CO2-- --- <br />Date Tested �_'_-� q-1 <br />Input CFH. Q <br />Percent 02-�_— <br />r! <br />Company Testing _ L ✓ �_ <br />f7 <br />Stack Terrp <br />Percent CO <br />Name of Tester _.Aff`�'L•'` <br />Form 235 Forth 0 5 <br />