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A'NEHEATIN3 HOUSE HEATING TEST RECORD <br />AIR CONDITIONt�I <br />AN..7 E!.ECTRiC. INC <br />ADDRESS 23 yO FO x sT AFT. - FLWA CITY row C, st!nUH6 <br />OCCUPANT SEN% r- 01YNER <br />HEAT LOSS D4T[ HTG. INST. <br />SOLD BY - _ - - INSTALLED BY <br />Etsctrical Work By _- -_ Gss Line By <br />TYPE OF HEAT GA FA ✓ HW STEAM �- SPAcE HTR. UNt f HTR.. OTHER <br />GAS DESIGN CANVF RSI(..14 <br />MAKE TC /41 Sto-r MAKE OF BURNER - . -- _ _-- -- --- ---- <br />Modal U Ilir P1 I a_ I_ Model _ __ - --- ---- <br />Serial L.1 -- _ _ _ _ ... Max. BTU Rating - <br />INPUT j lsj 0 0 O MAKE OF FURNACE <br />Modal — ���-- <br />GONT;t,.l. _; L <br />THERMOSTAT — V ? --_ �.,rt PI ,A _ - _ �� Size Valve �0! L/eM _ _ ._-_---_-..- ._ - �I'I0OF ON' R--- SIZENONE - ---- <br />VLimh aly 1r! ------ y._ _- _ -- Did" Hood _ h Regul..'ur _ <br />Limit Setting . _-- _ _.__.-_ �_. _ __ _ . _-_-. - `:Iton Size S Number <br />Fensttlnp Tt'� _ _ _ _...._._ - __.__ • .11Mnay Location Inside Outside <br />Pilot Type _—� wi" .�___ - -- -• • _ _- - - _ _ _ .. ^cnstrucfiorj <br />PlidMaks__-___ 1�1tIrN <br />Pilot Model IK _- _ ___ _ _ __ -._ -,Oka Bono w"V <br />Pilot Timing —�--�.-_-,_-- - .____ _... Draft Test Tag <br />L. W. Cut Olt _--_ --�^ -----. _.- n xw Pressure , Ughfing inst. <br />Pressure -- _ _ Percent COr / i -- _ L' Tested <br />Input CFH -_ -�--~ Feresnt O� .__ _ _ _ -- _ ... %'� ^ark TsSU11 . <br />Stack Temp - 1/)_ Percent CU �'� — �of fwte, ..._ <br />Form 235 <br />