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HOUSE HEATING TEST RECORD O 657 <br />ADDRESS <br />AV6-S B*r <br />IC��Ot t: � <br />_APT. FLOOR <br />OCCUPANT <br />K 6jC 13 r 2 <br />_ <br />—OWNER <br />HEAT LOSS <br />DATE <br />HT9. INST. _ <br />_ Model _ <br />SOLD BY <br />= oc r <br />4".? _ <br />BY _. <br />INPUT <br />---INSTALLED <br />Electrical Work By — --___ <br />MAKE OF FURNACE <br />__Gas Line By <br />TYPE OF HEAT GA ___ FA _rte HW STEAM --SPACE HTR. <br />Model _ <br />CITY <br />n <br />UNIT HTR. OTHER <br />CONVERSION <br />SUBURB 0ecj'`'�' <br />CONTROLS i, <br />THERMOSTAT �! _Heat Plug __ Vent Size <br />Volvo% '"'v KIND OF LINER. c L.aSS it SIZE NONE <br />Limit — Draft Hood Regulator <br />Limit Setting e2010 Filters Silo Number <br />Fen Setting X00 -/iv _ Chimney Location Inside L_/ Outside <br />Pilot Type dc"t �J�'f LG Chimney Construction 4k eCk <br />Pilot Make 1: u <br />Pilot Model __ <br />Pilot Timing <br />L.W. Cut off . <br />Smoke Bomb — _ Wiring <br />Draft .—__ L1 Test <br />Door Pressure <br />Lighting Inst.y <br />Pressure Percent CO2 – f7–''--- Date Tested f( "') I(, 6 e <br />Input CFH 3 7 Percent O 7' — Company Testing !' �' L' <br />v <br />Steck Temp. I/00 Percent CO2 O Name of Tester <br />Fans 235 <br />GAS DESIGN <br />MAKE <br />�EtitiO/ <br />___MAKE OF BURNER _ <br />Modal <br />6 IJ Q 306 <br />137 C' y <br />_ Model _ <br />Serial <br />5 `a 79 / <br />4".? _ <br />Max. BTU Rating — <br />INPUT <br />137.1-1 <br />— <br />MAKE OF FURNACE <br />Model _ <br />CITY <br />n <br />UNIT HTR. OTHER <br />CONVERSION <br />SUBURB 0ecj'`'�' <br />CONTROLS i, <br />THERMOSTAT �! _Heat Plug __ Vent Size <br />Volvo% '"'v KIND OF LINER. c L.aSS it SIZE NONE <br />Limit — Draft Hood Regulator <br />Limit Setting e2010 Filters Silo Number <br />Fen Setting X00 -/iv _ Chimney Location Inside L_/ Outside <br />Pilot Type dc"t �J�'f LG Chimney Construction 4k eCk <br />Pilot Make 1: u <br />Pilot Model __ <br />Pilot Timing <br />L.W. Cut off . <br />Smoke Bomb — _ Wiring <br />Draft .—__ L1 Test <br />Door Pressure <br />Lighting Inst.y <br />Pressure Percent CO2 – f7–''--- Date Tested f( "') I(, 6 e <br />Input CFH 3 7 Percent O 7' — Company Testing !' �' L' <br />v <br />Steck Temp. I/00 Percent CO2 O Name of Tester <br />Fans 235 <br />