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reA SIM 1 or* Li `1 HOUSE <br />ADDRESS 3 3C9 \J Ry S(o k, <br />KCLPAMT <br />MEAT LOSS _____. DATE HTO. INST. <br />HEATING TEST RECORD <br />_ AP i —_ FLOOR CITY <br />----- OwNEP _--- <br />SOLO INSTALLED BY <br />Elact►ial w«k _ Ga Lina By <br />TYPE Of MEAT CA —__— FA Mw ____ STEAM —_ _ SPACE MTR. <br />JDAV ESION <br />MAKE _— "` ktot V MAKE OF BURNER <br />Mdal_ Ila I <br />Map! 401.1 16214 - <br />INPUT ___ _ - �___._ MAKE OF FURNACE <br />Maul <br />THERMOSTAT � <br />Valva _ <br />Limit _— <br />L.wlt Setting <br />Fen Setting <br />Pilot Type <br />Pilot Make -- <br />P.Iof Me" <br />CONTROLS <br />W � <br />Haat PIWI <br />Pilot Tieing _ � -_.— <br />L w Cut OI/ <br />Prauw Pmcant COT -- L <br />Input CFM _•�` 4''flA/t� —P«cant OT <br />Stack Tarty. ...._-_--Part»nt CO <br />W- s Cy f <br />SURUR. O cd � 0 <br />va TC- I( 1 <br />_f4 to" f - <br />UNIT MTR. _OTHER <br />CONVERSION <br />Vent Site _ —_-- 6 (` -- <br />KIND OF LINEIL SIZE C7 �HAIsJ <br />Dalt Hoe1 t 1 RaEalawr K fL S �i 11� <br />Filters :ilea N — <br />Chimney <br />Consirett Maims ��aiChi— <br />vellem :Z7- <br />smoke Born► wNbq <br />Oroly r TaN TM -- <br />Doer Prat•vv <br />Data Testas-- <br />Ceayany Testing _----- _ --- <br />Name •1 Tester <br />