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11111 . <br /> , HOUSE HEATING TEST RECORD <br /> ADDRESS ,'' `2,?-5.- Q �` APT. FLOOR CITY SUBURB <br /> OCCUPAN _ <br /> ' OWNER <br /> HEAT LOSt ' D.S.TE HTG. INST. <br /> SOLD BY INSTALLED BY <br /> Electrical Werk By l^.. Y Gas Line By <br /> TYPE OF HEAT SGA FA NW STEAM___!`SPACE HTR. UNIT HTR. OTHER <br /> GAS,D IGN A CONVERS <br /> MAKE MAKE OF BURNER <br /> Model 0-0 I/ 3 3 Model 'y 0-0 /V '3 <br /> Serial ..."NO S !> / 0-O O-O (?'v-0 <br /> `�i Max. BTU Rating T / <br /> INPUT 'ya9-m 4-0-0 MAKE OF FURNACE Pan/...A5s <br /> Model . '1NK,.Ow .d <br /> CONTROLS <br /> THERMOSTAT? O /0 <br /> ~ <br /> Heat Plug Vent Size <br /> Valve_HO Vm r 6A-4o'TRot KIND OF LINER 7744- SIZE/o X/4 NONE <br /> Limit f/D'✓i.Y1411:"/-1-- Draft Hood! C Regulator AI 4X/TR 01-.. <br /> Limit Setting . 5 _ Filters Size A/6 ^fes Number '''''' <br /> Fon Setting /1/0A-14? Chimney Location Inside X Outside <br /> Pilot Type 4'I e_TRts.'t i= Chimney Construction 81 /c•K ¢ Tl i L' <br /> Pilot Make' O U w/ZAL <br /> Pilot Model All 54O /C Smoke Bomb . N0 L 6 4' Wiring u K <br /> Pilot Timing S�C' Draft s 0 al Test Tog AT74-a4/f 17 <br /> L.W. Cut Off K Door Pressure A1-0414 Lighting� Inst. Ql'g'!0 F <br /> Pressure 3,�'�/ Percent ' 8. o Dote Tested ._ if 2 r / - 8-T <br /> CO2tn <br /> Input CFH Oh 44471" Percent 02 Company Testing n <br /> Stock Temp. 4/SO Percent CO 'ONG Name of Tester K 4--1"-'��'--- <br />