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ADDRESS <br />OCCUPANT <br />HOUSE, ATING TEST RECORD / ? s- <br />1. 'so <br />,-' APT. FLOOR CITY SUBURB <br />OWNER <br />HEAT LOSS ,,� - DATE HTG IN,ST <br />g— <br />SOLD BY ��L' :L l <br />Electrical Work By TYPE OF HEAT GA ._ FA 1'" HW STEAM SI <br />INSTALLED BY M -`1-�` <br />, Gas Line By a-'�' <br />ACE HTR. UNIT HTR. OTHER <br />S DESI CONVERSION <br />MAKE ''j MAKE OF B','RNER <br />Model { ! / �; Model <br />Serial V Max. BTU Rating — <br />INPUT G MAKE OF FURNACE <br />Model <br />l CONTROLS G , <br />THERMOSTAT rL7 <br />t Plug _ Vent Size <br />Valve KIND OF LINER. <br />SIZE 6 NONE <br />Limit Draft Hood Regularor _ <br />Limit Setting T— Filters Size .Number <br />Fort Setting" Chimney Location Insi Outside <br />Pilot Type Z-'� Chimney Constructions <br />Pilot Make w <br />Pilot Model Smoke Bo m Wiring - <br />Pilot Timing '" ' �'�1' Draft G Test Tog <br />L.W. Cut Off _ Door Pressure Liohtins Inst. <br />Pressure 3 r Percent CO2 Date Tested <br />Input CFN Percent OZ Company Testing <br />Stock Temp. — 2- _ Percent CO Name of Tester _ <br />Form 235 <br />