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_J J(/,�f <br /> MIDLAND HEATING - <br /> 6442 Penn Aa�ue South • Phone F3G9-321 3 / ;k' G � �� <br /> . <br /> ADORESS __._/�> �S � ��'���-</[��i � � � APT.___FLOOR----y�-CITY 5 BURB7�� <br /> OCCUPANT___ _OWNER _ �ff� �'�� 'b�� �'� �h <br /> HEA7 LOSS DATE HTG. INST. _ <br /> SbLD BY _____ INSTA�LED BY <br /> Ei�chicol Work By __,Gos Lin• By _ ��� 'J ��� � .� � � <br /> ' � <br /> 7YP[ OF HEAT GA FA_LHW STEAM_ SPACE HTR. UNIT HTR. OTHER <br /> � GAS DESIGN CONVERSION <br /> �e?-.`;E ____ 'p G � U � MAKE OF BURNER <br /> Mwi�i __ � a�'� � S G�.� ' / Model <br /> Seviol _���� � � `�-s U / Max. BTU Ratir,y <br /> INPUT ��C)�"I —MAKE OF FURNACE <br /> Model �A n� 7 �i � <br /> � _ CONTROLS S ,_„ <br /> 7�tERMOST T_ —� H�P at Pluy Vent Size-- <br /> Vnlve — {��J-�f/ iSLll.t�cr�"J KIND OF LINER -��� 1 • �� SIZE_ ��_NONE <br /> Lim�t __ _ 7`��'r�� � / �� �� Draft Hood ___ R�yulator /x" � <br /> Limit S�tt�ny__— %�J Filters 5ize ►�umb�► <br /> Fon 5ettinq � �'��� -� � __ Chimn�y Location Insida Outsids <br /> Pilot Ty W _ �'`�'` �� � Chimnsy Conatrucfion <br /> Pilo� Mak� --- SA/ 4/1 /� <br /> Pilot Modsl _ �Gr,y'—f'u- � ,� IQ� Smoke Bomb Wirinq �` — <br /> Pilr.t Tim�ny — � � � C Draft T�st Tap � <br /> L.W. Cut Off — Door Prossura_ Liphtinq Inst. � <br /> i� Q' <br /> Proaaure___ f'J P�runt CO �v��O � Date T�ated � ` �`� ��� <br /> lnput CFH__ �l/� r P�runt 0�.�_— Company Tesfing � � �N ` ''� � <br /> ?/ D. L� <br /> Stack 7�mp. _�P� P�run► CO Nam�of T�stn _ <br /> Fwm 235 <br />