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4250 Lexington Ave - Heating TestHOUSE HEATING TEST RECORD ADDRESS Ap T.-FLOOR CIT SUBURB OCCUPANT -? OWNER HEAT LOSS ? DATE HTG. iNS SOLD BY rte' V? ??C? INSTALLED BY -/?>*? Electrical Work By Gas Line By ` C TYPE OF HEAT GA _FA _HW STEAM -SPACE HTR. -UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE J?.ff'YY? MAKE OF BURNER Model Model Serial Max. BTU Rating INPUT A-40 mw MAKE OF FURNACE C ROILS THERMOSTAT Heat P ? Valve 4,44 4rE/ Limit Limit Setting Model Vent Size KIND OF LINER_ Draft Hood Filters Size Fan Setting _ Chimney Location Ins Pilot Type Chimney Construction Pilot Make 4::;Iw Pilot Model Smoke Bomb Pilot Timing Draft L.W. Cut Off Door Pressure SIZE NONE or rss- 3 Outside Wiring X .Test Tag Lighting Inst Pressure 41 Percent CO2 Date Tested `3d P7 Input CFH- 9.,9 Percent 02 Company Testing Stack Temp. Percent CO Name of Tester 17 Form 235 - ,may / HOUSE HEATING TEST RECORD ADDRESS ?s+ L Lt/ 6-0 APT.- OCCUPANT _A-L A.IA4 OWNER FLOOR CITY 4URB HEAT LOSS DATE, ?HTG,.?} NST. SOLD BY ?C INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA FA _HW STEAM -SPACE HTR. -UNIT HTR. -OTHER AS DESIGN CONVERSION MAKE S-0 I A lGS MAKE OF BURNER Model Model Serial - Max. BTU Rating Z?z INPUT MAKE OF FURNACE Model CO LS THERMOSTA eat Plug, Valve Z??i0s/1' L:O c?I' Limit Limit Setting Vent Size KIND OF LINER SIZE NONE Draft Hood Regulator 3 Filters Size '? Number Fan Setting I Chimney Location Inside Outsid Pilot Type L Chimney Construction -? Pilot Make A Z' Pilot Model lS _I evh Smoke Bomb' Wiring Pilot Timing All / Draft ' Test Tag L.W. Cut Off Door Pressure Lighting Inst f d Pressure Percent CO2 Date Tested L ' Input CFH Percent 02?rt Company Testing Stack Temp. Percent CO /e Name of Tester Form 235 HOUSE HEATING TEST RECORD ADDRESS J't J o ?C?i'f?y(sI?Cr-J /4?E APT.-FLOOR OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT -GA _FA_HW -STEAM -SPACE HTR. - HTR. -OTHER UNIT ?J 5 GAS DESIGN CONVERSION 7,1A-& MAKE • -/G r MAKE OF BURNER Model /0r y X6 QN Model Serial Max. BTU Rating INPUT (f MAKE OF FURNACE Model CO ROLS .i ?• THERMOSTAT Vent Size ? f ? ? ? - Valve ?/ KIND OF LINER ' SIZE NONE- Limit Draft Hood '?- Regularor Limit Setting Tr. Filters Size N umber Fan Setting .ter Chimney Location ? + Inside ,be Outside Pilot Type Chimney-Construction ??-r Pilot Make ----- Pilot Model A ?/? ???^ < < ? Smoke B Wiring Pilot Timing ??"???? - Draft ?= Test Tag L.W. Cut Off Door Pr ssuf;? Lighting Inst. r- Pressure ?O? Percent C02 Date Tested input CFH Percent 02 Company Testing Stack 'Temp. Percent CO Name of Testet--- _Foim 235 - CITY -"?SUBURB ? C2 P" ? c L ?/ EC01 HEATING TEST h . • ? D / -/ ? ADDRESS L :nA APT.-FLO OR CITY SUBURB OCCUPANT OWNER 1 HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY a Electrical Work By G 45-Pr" G" G Gas Line By pac ec TYPE OF HEAT GA V F HW STEAM-SPACE HTR. - UNIT HTR. -OTHER GAS DESIGN NVERSION MAKE MAKE OF BURNER Model tIA& 6 Model S i l A '?;W( A 6E BTU Ratin 7yh W2 Mo er a !L g z. INPUT ry ' f,"7e7d MAKE OF FURNACE 1 i Model CONTROLS 7r'' THERMOSTAT Heat Plug Vent Size Valve .> a KIND OF LINER NONE SIZE Limit - ??..?? // Draft Hood f .!A/4Z 5 ` R a I *or Limit Setting Filters Size 25)(2 / Number. Fan Setting ` OXV 447? 6f42Chimney Location Inside Outside Pilot Type f Chimney Construction Pilot Make C/ Pilot Model Smoke Bomb r Wiring n? Pilot Timing 72 SAC Draft Test Tag V L.W. Cut Off •? ` Door Pressure Lighting I t Pressure -s SPercent C02 -u-'T- Date Tested ?/7/ -?-7 Input CFH? Percent O ° Company Testing -Rouse Mechanical, Inc. Stock Temp Percent COY 11348 K-Tel Dr. Minnetonnka,a, MN 55343 Name of Tester z y t