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625 Yankee Doodle Rd - House Heating Test Records ~ • / HOUSE HEATING TEST RECORD ADDRE55 p`~" d ~/y~~~PT.-FLOOR7S~ CITYC~d.~t~ik1BUR6 OCCUPANT a~ ~Q O^~~ Q~'-~ OWNER L HEAT LO55 DATE H7G. INST. SOLD BY INSTALLED BY A ~l s ~ d i_ Electrieal Wark By _ Gos Lina By TYPE OF HEAT GA FA _ W_STEAM _SPACE HTR. UNIT NTR. ~OTHER f GAS DESIGN CONVERSION MAKE ~~~4 l~-A MAKE OF BURNER Model ~ S L`7 Model - Sxial Max. BTU Rating INPUT 0~~~ MAKE OF FUR Model CONTROLS ~ - THERMDST T ~aa' ~qt Plug Vsnt Size yu~ve °=~e~-'~ J~ KIND OF LINE~R~ y~~~ ~ SIZE NONE Limit Drafi Hood a^~^w~ J Regularor ~a~ Limit Sstting ~ FilTSrs $ize .f~~_ Num6er Fon Seffing Chimnsy Locetfon Insids Outside Pilot Type Chimney Construc}ion .~c~' Pibt Make ~ Pilot Model $moke Bomb Wiring Pilot Timing ~ d1-~~ Draft Test T~p - L.W. Cut Off Dem Pressure Lighting InaT. Prassure Psrcent COZ~ Date Teseed Input CFH ~Sp^' Pereen~ 0~-~----- ~mpany Testing Stack Temp. -~'.(~.L~ Percent CO ~ Name of Tsstar Form 235 ' HOUSE HEATING TEST RECORD ADDRESS ~~S YtwL~ LJO~ I~ ~APT.-FLOOR CITY~o'~'LSU8UR6 OCCUPANT ~~'~L ~-~_~~'~-4~a-~~~ OWNER ~ ~ HEAT LOSS ~ATE HTG. INST. 1•~n SOLD BY INSTALLED BY ~,C~ ' Elsctrieal W 4 8 ~e~~Li Gaa Line By ~~~C~ C./.f ~ TYPE OF HEAT GA FA ~ HW STEAM _SPACE HTR. UNIT HTR. -.~~OTHER GAS DESIGN CONVERSION MAKE Q MAKE OF BURNER Model TF I S"r~ Modsl Ssrial Maa. BTU Rating INPUT I SFJFaDO MAKE OF FURN Model CONTROLS ~ THERMOSTAT ~ Heat Plug Vsnf Si:e ya~~a - KIND OF LINER SIZE NONE wr+ Droh Hood -~!p'u~'~~~ Rsgularor ~ ~ Limit - Limif Sstting ~ ~ Filfers Si:e Numbar N~ Fan Settin ~l Ch{mney Locatfon Insids~p0utside Pilof Type9~~ Chimney Conatruc}ion G7 ~ Pilee Make ~,y..~ ~'~'L~ ? Pilot Model Smoke Bomb W~~~~9 ~ Pilot Timing d-EL' Draft Test Tag L.W, Cut Off Door Prossure Lightiny InsL ~ Pressure ~'S,/~ PercentCO~~ Date Tested - Input CFH ~~~1,%^ Psresn* O~ Company Tet}ing Stock Temp. ~{S.~Percent CO ~ Neme of Testar Form 235 HOUSE HEATING TEST RECORD ADDRESS ~a"'S Tll..~.Co~~ ~o~t~-n<.dC ~pT.-Fl ~ g L CIT~.vUBURB OCCUPANT ~~'~a OM+C Q~~.v.'~tr5 t'wek- OWNER V HEAT LO55-T~~DATE HTG. INST. SOLD BY INSTALLED BY ~~l1 y Elsctricel Work By p~"""-'~ s Gas Lina By ef~•; TYPEOFHEAT GA-FA W STEAM-SPACEHTR. UNITHTR.~OTHER ~ I~. GAS DESIGN CONVERSION MAKE ~~_U MAKE OF BURNER Model ti ~ Modsl $niol ~n Max. BTU Rnting INPUT I~~f7F~C~ MAKE OF F NACE Model r~ CONTROLS C u THERMOST T_L Heat Plug Vent Si:s J ,L KIND OF LINER SIZE NONE Valre ~,1c Limit Drok Hood ~ Regularor cL-? Filters Sizs~-~~~- Number LimiT ~Miny Fan Sefting (]~imney Location Inside~ utside Pilof Type Chimney ConstruNien ~A~~`~ Pilot Make , / Pilot Model Smoke Bomb W~~~~9 ~ ~ Pilot Timing ~ Draft Ts:t Tag L.W. Cut Dff - Dow Pressura Lighfin9 Pressure ~ PeresntC02~r- Date Testad Input CFH PerceN O Company Tssting Stack Temp• ~ Percant CO' ~ Nama of Testsr Form 235 ~ ' HOUSE HEATING TEST RECORD ADDRESS~~~ZG.1 ~~l7I~~~PT.-F QUR CIT~SUBURB OCCUPANT R.nyt (~Yt~L Q.~S.~n~F3S -~^/'+"~Y°iI~L OWNER L- r~ HEAT LOSS DATE HTG. INST. an n - , SOLD BY ` INSTALLED BY A p~ Elsctrical Work By + Gas Lins By ~.l~i w~ ~ ~ TYPE OF HEAT GA _ FA _ W-STEAM -SPACE HTR. -UNIT HTR. ~OTHER iGAS DEStGN CONV MAKE ~ lI'~.C.( MAKE OF BURNER - Modsl T~' fl Modsl Serial Max. BTU Rari INPUT ~ Q~ MAKE OF RNACE Mod ~j^ yCONTROLS ir THERMOSTA1 T t Plug Vsnt Size ~ Valve _~T~T~~(d~'`Q~ KIND OF LINER SIZE NONE Limit_~'er~_el"'n-~ DrakHeod Nh~'-~'u-r-~~~A///~~p' Re~~-g~~.ulator ~~S•~ LimitSaMing ~.~g~~~ Pilters Size!/-~-~umber Fan Setting Chimney Location Inafda Outside Pilot Typa Chimney Constfuction ~ ' Pilot Make ~ Pilof Model Smoks Bomb W~~~~9 Pilot TiminS ~ Draft Tact Tag L.W. Cut OFf Dow Pressure Liyhfiny Insf. ' g • ~ ~c9,~ Prossure 2~~ Percent CO2 Date Tested - InputCFH Psresnr 0 CompanyTeating . 7 Stack Tamp. ~Ar~ Percent CO Name ef 7ester Form 235