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ADDRESS <br />OCCUPANT <br />HEAT LOSS <br />SOLD BY <br />JJOUSE HEATING TEST RECORD <br />f <br />APT.FLOOR CITY .SUBURB.r)‘i^nA)n } <br />OWNER f <br />DATE HTC. INST. <br />i. <br />I ' <br />//■/?Ar/jJ<; installed by ( rttAf/^x <br />EUcMcoI Work By____'±-------------------------------- ---------------------------Go. Lin. By C^C.^FCTT <br />TYPE OF HEAT GA_ _FA_ _ _HW X STEAM- - -SPACE HTR- - -UNIT HTR. - - -OTHER <br />MAKE <br />Mod«l <br />y X A <br />ESIGN CONVERSION <br />/ J V /^ B ^ <br />MAKE OF BURNER <br />Mod.l--------------------- <br /><^i.i vnonoG <br />INPUT___oaCL <br />Mox. BTU Rating <br />MAKE OF FURNACE <br />Modal----------------------- <br />THERMOSTAT <br />Valva_______ <br />Limit------------- <br />CON TROLS <br />Haot Plug Vant Six#/d <br />/ <br />/ Qa ^ <br />KIND OF LINER — <br />Droft Hood------------ <br />Filtort Sizo <br />SIZE NONE. <br />Chimnoy Location <br />Chimnoy Construction <br />Limit Sotting <br />Fan Sotting - <br />p!1I! m!!I ^ F' <br />Pilot Mod.1__N 9, / / ,----------------------------------- S<"ok. Bomb <br />Pilot Timing--------S?lf> ^ <€. C'..----------------------------------- Droft---------- <br />Rogularor <br />__Numbor. <br />i <br />Insido X Outtido <br />1 <br />.Wiring i <br />—Tost Tag <br />L.W. Cot OH <br />Prosturo _LiLs:Porcont CO 2 <br />Door Prossuf <br />Dot# Tostod <br />Lighting Inst. <br />y/^ 7y___Input Porcont 0~----------------------- Compony Tasting '^ ^ ^ <br />Stock Tamp. CO -----c'P ^------ Nama of Tastor ^----------------- <br />Form 235 <br />POI