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1980-12-19 House Heating Test Record
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3250 Fox Street - 05-117-23-44-0012
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Paper work from old PID#05-117-23-44-0004
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1980-12-19 House Heating Test Record
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Last modified
6/10/2026 11:23:18 AM
Creation date
6/10/2026 11:19:25 AM
Metadata
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Template:
x Address Old
House Number
3250
Street Name
Fox
Street Type
Street
Address
3250 Fox Street
PIN
11723440004
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1 <br />J <br />HOUSE HEATING TEST RECORD <br />Annpc<;!^ ? _______APT----- <br />nrriiPAt^ (jeo DlXon __QWNER <br />o/?eA/o <br />FLOOR.CITY.SUBURB. <br />HEAT LOSS. <br />SOLD BY.UKi <br />INST. <br />Electrical Work By <br />TYPE OF HEAT G <br />BSRNDT <br />12/19/S0-^OA4Ca^A^TER <br />.Gas Line By. <br />HW. <br />GAS DESIGN <br />MAKE. ^ <br />STEAM____SPACE HTR. <br />Model. <br />SerioL <br />INPUT. <br />s~r/r ^ 2^1 ¥/l o» ------------------- <br />CONTROLS <br />Limit. <br />THERMOST^ <br />Valve__ <br />• m. ^ ^ <br />^eat Plwg..L <br />Limit Setting. <br />Fan Setting- <br />Pilot Type. <br />o <br />Pilot Make. <br />Pilot Model. <br />O' <br />Pilot Timing. <br />l.W. Cot Off-------- <br />Pressure_ ^ <br />Input CFH r- <br />Percent C02. <br />Percent 02. <br />7 <br />Stack Temp—L^'yL^JL----- Percent CO -----^) <br />UNIT HTR.OTHER. <br />CONVERSION <br />_AAAKE OF BURNER. <br />—Mode I------------------I <br />.Max. BTU Rating. <br />.MAKE OF FURNACE <br />Model-------------------- <br />.Vent Size. <br />.KIND OF LINER__ <br />.Draft Hood <br />.Filters >Size <br />c SI7F Jr% NONt <br />Chimney Location inside.Outside. <br />.ri_____Chimney Construction <br />Smoke Bom <br />Draft. <br />.Wiring. <br />.Door Pressure. <br />J>ate Tested— <br />.Company Testing <br />.Name of Tester — <br />y-7 --/ f- <br />.Lighting Inst------ <br />.Test Tag.
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