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CC <br /> llocief.19- <br /> ,re HOUSE HEATING TEST RECORD 1 .S 3 97 <br /> ADDRESS 7`-•' ,. - (- . '(\ ( ' \..\.( .\\( 11.' `. ,)( APT. FLOOR CITY SUBURB <br /> OCCUPANT 'i1 ,��' ` OWNER <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY INSTALLED BY <br /> Electrical Work By Gas Line By <br /> TYPE OF HEAT GA FA \ HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> ig,A DESIGN CONVERSION <br /> MAK E6/.. VIS{- MAKE OF BURNER <br /> Model c) 3 c` 0 Model <br /> Serial c rC -34 OS Max. BTU Rating <br /> INPUT 46:42/ MAKE OF FURNACE <br /> Model <br /> • CONTROLS <br /> THERMOSTATR,.'.'- . "'1/4:".j Heat Plug Vent Six. <br /> Valve '' - KIND OF LINER SIZE NONE <br /> Limit W', - ' k< Draft Hood Regulator <br /> Limit Setting r (° . ' Filters Six. -Number <br /> Fan Setting �� Chimney Location Inside Outside <br /> Pilot Type <br /> .1-- Chimney Construction <br /> Pilot Make .�+ <br /> Pilot Model - 434 Smoke Bomb Wiring <br /> Pilot Timing Draft Test Tag <br /> L.W. Cut Off Door Pressure Lighting Inst. <br /> Pressure '3••5 Percent CO2 ' Date Tested 1< `I r1, i k`-- <br /> Input <br /> icInput CFH Percent 02 0.2 Company Testing _ k <br /> Stock Temp. -24- Percent CO 1 o PP/h Nome of Tester �'v T.; i' , ' rr', <br />