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Pe4rt- 4) 66gq 7 <br /> HOUSE HEATING TEST RECORD �' _S-3 47 <br /> ADDRESS v‘Ck1 (14-00-4 APT. FLOOR CITY SUBURB <br /> OCCUPANT civOWNER <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY INSTALLED BY <br /> Electrical Work By Gas Lin. By <br /> TYPE OF HEAT GA FA x HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE Le/V <br /> oVIS MAKE OF BURNER <br /> Model Cr-)1 <br /> Q 3 - ((ASC.,. <br /> 6- 1 Model <br /> Serial 58`7 c/ f 36 ? Q Max. BTU Rating <br /> INPUT 6 jd0 0 MAKE OF FURNACE <br /> Model <br /> ` NTROLS <br /> THERMOST TIQ4 Hear Plug Vent Siz• <br /> Valve i4-)11 . KIND OF LINER SIZE NONE <br /> Limit '0Draft Hood Regulator <br /> Limit Setting (6-� Filters Siz. —Number <br /> Fan Setting I ho Chimney Location Inside Outside <br /> Pilot Type Chimney Construction <br /> Pilot Mak. • _ <br /> Pilot Model y= Smoke Bomb Wiring <br /> Pilot Timing °1 Draft Test Tag <br /> L.W. Cut Off Door Pressure_ Lighting Inst. <br /> Pressure �..5 Percent CO2 Zi° V Dot. Tested /V %' 1,_:31Input CFH Percent 02 i Company Testing L) <br /> Stock Temp. 0 Percent CO 7 e,' ! Name of Tester 3rt k L.etkdo.r\.„ <br />