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. , , . _ <br /> . __ HUtTs�_ti tF. i ING TES�f RECORD - — - _ __ ___ . <br /> ADDRESS �"������\ti L/v � v�W�O --- - <br /> �� ' OCCUPANT —APT. FLOOR CITY SUBURB <br /> � ; HEAT LOSS —OWNER <br /> DATE HTG. INST.�''�—�7 A ,� <br /> SOLD BY �'� � INSTALLED BY 'v`U� p� <br /> iElsctrical Work By i � — Gas Lins By___ � Pr , � <br /> TYPE OF HeAT GA FA .�Hw �STEAM _ s�nCE HTR, ,�.___UNIT tiTR, OTIIER .._._. <br /> MAKE W �'��I��l�s�f SIGN CONVERSION ' <br /> , Mod.l , (y_` �'� "� Ml,KE CF DURNER _ <br /> Seria� Model <br /> (NPUT��n . Cyd(� Max. BTU Rating <br /> ___ MAKE OF FURNACE <br /> Model <br /> CONTROLS ��l <br /> � THERMO TAT �7 � '"� <br /> � Heat Plug Vent Size <br /> Valve � i�� ��/� Q � � <br /> � _ Q --- KIND OF LIN�E� SIZE NONE <br /> Limit_.�.�c u Draft Houd 1"/� `� <br /> Regulator -- <br /> Limit Setting ��+e Filters �Size ���'•'� � Number � <br /> Fan Setting rd C. L � <br /> f C,himney Location Iaside��( � _Outside <br /> Pilot Type � � V T '��� ✓L� !/C)� Cl�imney Constructio� _.12V«II T <br /> � ' Pilot Make � W�- — <br /> � Ptlor Modol _ S�„oke D���n� _ Wjriny � <br /> P�lor TI���I„9 -- Tesr Tap <br /> i S�L C�-----..._.__— --" pr u 1 r __ <br /> L.W. Cut Off Door Prossuro Llyhtiny Inst, l <br /> � Prossuro �� (�Percent CO2 � d Date Tested 7� `" <br /> .� <br /> � Input CFH Percent OZ Coropuny Testing y -� � <br /> Stack Temp. Percent CO �� Name of Tester <br /> Form 235 <br />