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HOUSE HEATING TEST RECORD -7c/74 <br /> ADDRESS VV C' 9- Lm - APT. ►�±±�••01,2 CITY — SUBURB <br /> OCCUPANT OWNER IAlr r.Flair. <br /> _ r<Yil' .. <br /> HEAT LOSS DATE HTG. INST. L. fF I <br /> SOLD BY INSTALLE'� MT <br /> � <br /> Electrical Work By U � c 5' Gas Line e�l� r. 't <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. i UNI r TR. *OTHER!, <br /> MAKE ` �) G4/4-- MAKE OF BURNER ----- _. CONVERSION i' <br /> '?cam\ �1 i----) <br /> Model -94I4 4\ L( 2 Ion Model <br /> Serial Max. BTU Rating <br /> INPUT C--)/t^r MAKE OF FURNACE <br /> Model <br /> CONTROLS ,----,2))� <br /> THERMOSTAT ? H Heat Plug Vent Size ` `�C_ <br /> Valve KIND OF LINER SIZE NONE <br /> LimitDraft Hood Regulator <br /> Limit Setting rk`_��C ��� ��TJ FiltersSize'' $ \� Number_ 1 <br /> Fan Setting (t A Chimney Location Inside .Outside <br /> Pilot Type --T'1 \ TI �0� Chimney Construction ( V C-- <br /> Pilot Make <br /> Pilot Model ) Smoke Bomb Wiring <br /> ET M <br /> Pilot Timing l\ 1..._C3C \c GL oft Test Tag <br /> L.W. Cut Off Door Pressure Lighting Inst. <br /> Pressure '�' ) Percent CO2 Date Tested 1 e�^ C1 r <br /> ` <br /> � <br /> r <br /> Input CFH Percent 02 Company Testing 2 \AA <br /> Stack Temp. NOS"' Percent CO 0 Name of Tester C___._ L <br /> Form 235 <br />