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ADDRESS. 4tO ixbwah Or* <br />HOUSE HEATING TtSf RHCO <br />______________________________APT. _ _____ <br />OCCUPANT--- ______________________ _____OWNER Hclluity C—t <br />‘•®**-2C=S=ai^ MJP- »i?T... VA'yyL _. _ gas co . meter badge #____50IG Bv liAtiai 1 iBtr On8* tiic~iNSTAiipn by . <br />ElMrkql By------ laydir OlActrlc_________Go* line ft,. UJacfii* <br />TYPE OHlUir GA-------FA_i^HW_____STEAM___- SPACE HTR______UNIT H*. ft <br />___suburb -?*?5!L_FLOOR.CITY. <br />THER <br />um ^ : Ms DESIGN CONVERSION <br />AAAKg ____________ <br />ModeU^l/aL^^ <br />S«riol <br />INPUT _ <br />THERMO <br />Volv« <br />limit. <br />^SfAjZSj^ <br />CONTROLS <br />MAKE OF BURNER____ <br />Mod.?l __________ <br />BTU Rrj;lng_____ <br />AAAKE OF FURNACE___ <br />Model______________ <br />__ Heat Plu9 ^ 7nei <br />'hl.^Si^dL *</ <br />Limit Setting_- <br />.Vent Size— <br />.KIND OF LINER <br />A <br />Pon SeHlng_y^^ <br />Pitel Type g /igz; V <br />.Draft Hood^____________„ <br />.Filters <br />___SIZE- <br />Regulator. <br />- Number. <br />NONE. <br />Pilot A^ke <br />Pitot Model. <br />.Chimney Location Insic^. <br />.Chimney Construction_/ii^XX <br />Outside. <br />Pilot Timing ^ A ^ ^ <br />L.W. Cut OH ^ ■ I <br />Pressure _tL <br />-Smoke Bomb. <br />Draft _______ <br />.Door Pressure. <br />-Wiring. <br />.Test Tag <br />Input CFH <br />Stock Tnmp. * <br />Percent C02—2_______Date Tested ^ ^ ^ ? _r <br />Percent 02-------------------^Company Testing <br />Lighting Inst __^ <br />Percent CO .Name of Tester y'