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3HOUSE HEATING TEST RECORD S`z <br /> ADDRESS L450 00e-c-.<-c., ake.A,lte-0 &n APT. FLOOR# CITY 5-35-- SUBURB O,e""C/ <br /> OCCUPANT &i -14ts /4 OWNER <br /> HEAT LOSS / / DATE HTG. INST. <br /> SOLD BY WCG / INSTALLED BY ...5-4/7,6"-z <br /> Electrical Work By /11/"e-/.51---� Gas Line By <br /> TYPE OF HEAT GA FA v-HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE Z CA/A/c,/ _ MAKE OF BURNER <br /> Model Ga 0 4 -�/(v E-—/��-,) Model OCT �' '' <br /> e«jjj/// 3 i v 4 <br /> Serial k7 d /��5-7 Max. BTU Rating <br /> INPUT /5-6147 MAKE OF FURNACE i--\:'Cv,Q;- r° ice.) <br /> Model <br /> LL CONTROLS „ <br /> THERMOSTAT �/� Heat Plug Vent Size <br /> Valve Rib- KIND OF LINER 4Luill SIZE �y NONE <br /> Limit /9/9- Draft Hood Regulator <br /> Limit Setting /90 Filters Size Number <br /> Fan Setting 0 --1.,4->'/4">>' .46)'L4 Y Chimney Location Inside L"------- Outside <br /> Pilot Type p 6e, -Z i Chimney Construction /�LS� <br /> Pilot Make /� S <br /> Pilot Model Smoke Bomb Wiring t"----- <br /> Pilot Timing 3a 5o: Draft C/ Test Tag L.- <br /> L.W. Cut Off Door Pressure Lighting Inst. (' --.‘' <br /> Pressure 3'5 Percent CO2 7 ) Date Tested `6/ - <br /> Input CFH /rte Percent 02 .7Company Testing <br /> Stack Temp. 390 Percent CO ej Name of Tester .k�c ' <br /> Form 235 <br />