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2975 Lone Oak Dr - Heating Test Record HOUSE HEATING TEST RECORD jo?* 3 S4K ADDRESS a"17S LO OAV N ' APT.-FLOOR_ CITY Y?L2-5UBUR6 OCCUPANT t?nL6/.S ' GOeP OWNER HEAT LOSS DATE HTG. INST. SOLD 8Y N?ONLC 4 INSTALLED 8Y Elscfrical Werk 8y Gos Line By TYPE OF HEAT GA _ FA yK--HW STEAM -SPACE HTR. -UNIT HTR. -OTHER GAS DESIGN CONVERSION MAKE N C) MAKE OF BURNER Model Modsl Ssrial _ Maz. BTU Rating ? 0 INPUT ? alv MAKE OF FURNACE Modsl CONTROLS THERMO TAT saf Plug Van1 Si:e G n ? M ? Va lva V -?lL SU N I iT S3 KIND OF LINER SIZNONE Q Limff f?? ek le-L- Dro{}Hood Regulotor ? ?> > h Limit SaNing 'Au Filtars Size Numbar /t 7 Fan Selting Chimney Lo<ation Inside Outaide ? -?/ Pilot Typs yrd?f Chimnsy Canstruction Pilot Maka L//AAId ? Pilot Modsl Smoke Bomb Wiring ?f Pilot Timinq ? Dru{t ?.N??'? Test Tag ?Cf L.W. Cut Of( ' Door Preseure ? lighting Inst. ?t Pressure A? W? 7#0 h Dofa Tasted ?/2 k[ PeresnlCO u Input CFH t ? ? Percent OZ Company Testing 'V $rock Temp. nt CO Name oi Testar ?_ F«m 235 HOUSE HEATING TEST RECORD ADDRESS 2-175 L45rVi-' dUlC Ok APT.-FLOOR DCCUPANT M44116 coa p OWNER HEAT LOSS DATE HTG. INST. SOLD BY 1NPNZlL INSTALLED BY Electrical Work By Gas Lina 8y TYPE OF HEAT GA_FA HW -STEAM -SPACE HTR. UNI7HTR. _OTHER ?/ GAS DESIGN CONVERSION MAKE ????.L? MAKE OF BURNER Medel Q5??,j? Modsl S b??D6E l? !f? Max. 8TU Roti?g INPUT ? U? 437V MAKE OF FURNACE Medel CONTROLS THERMOS AT Heat Plug Valva V Sra o CoJ, 7?16 Limit t "4e(- Limit Settiny Fan Setting Pilot Type Pilot Make LeAlNC? ? Pilot Model io I 7 -6/ o Pilm Tlming 1?0 57,e(-- L.W. Cut Oif Vsnf $ixe I/1 ?`Lt I KIND OF LINER SIZE NONE Drafl Nood Regulmor 9;tS r Filfsrs $ize ???au xZ Mumber q Chimnsy LocaTion Inside Outside Chimnsy Canatruttien Smoke Bomb ?r Wiring ? Draft -EN?t7f'e? Test Tag Door Pressure?LighTing Inst. ,Z Dofe Tesfed _ Prossurs Psreenf CO? ??y `? ? Input CFHPeresnt OZ , 7tOM Cempany Testing Stack Tamp. L(?7 Pareanf CO Name o( Tester _ ,Tob0 3SHv CITY 1?'kSUBURB Form 235 HOUSE HEA7ING TEST RECORD ?ry1pr? .??? 35?? AUDRE55 a?15 LCJti2 l/A(L !/f- ppT.-FLOOR_CITYN-1b'°SUBl1R8- OCCUPANT fi0?? 409P OWNER HEAT LOSS DATE HTG. INST. SOLD BY bjy 'vu4 - INSTALLED BY Eleehical Work By Gos Lins By TYPEOFHEAT GA-FA._.,&-HW STEAM _SPACEHTR. UNITH7R. OTHER GAS DESIGN CONYERSION Y., MAKE l?NNU? MAKE OF BURNER Modsl TG-AQhn dpH j Model Swial 69O Ma:. BTU Rarinq INPUT MAKE OP FURNACE Modal CONTROLS THERMOSTAT Heot Plu Vsnt 5izs 0 (/`fL ? g Vulva 11 KIND OF LINER SIZE NONE LimH p1/ ?"t ? Droff Hood Regularor Limit $eMing 3 ?UUr Filters $ize ??Numbar ? 1 FanSetTing 11 ?"'KC ChimnayLocation Inside Oufsida Pilet Typa ir1/V"e Conseruetion Chimna y Pilot Make 1-rN"vx Pilof Mode) $moks Bomb -- Wiringg ? Pibt Timing Draft _ZVA/ - ?TesT Taq ?' L.W. Cut Of{ Door Pressure Lighfing Insf. ? / 13' WC b n 66 ? Pressuro ParcenTCOZ ' Date Tested Inpvt CFH /90 Parcent OZ ? ?On Company Tesling NzIe- $tetk Tamp ? F ParcanT CO Name of Tester e? . _ Form 235 a,ew -KkD9 01g, HOUSE HEATING TEST RECORD ADDRESS p?,"/ 75- I 11Aaf dr<?41 119dK- .APT._FLOOR CITY'_SUBURB OCCUPANT NULn4if!5 c- ore OWNER HEAT LOSS DATE HTG. INST. SOLD BY kreA,2-'L f-- INSTALLED 8Y Eleelrieal Werk By _ TYPE OF HEAT GA Gas Line By FA _,4_HW _STEAM SPACE HTR. UNIT NTR. - OTHER yGAS DESIGN CONVERSION MAKE &OA /? T MAKE OF BURNER Model -d U h1 16T Model Sxial Tb 0 _6_6r06 SS3b Max. BTU Rating INPUT f?,,WX1 151V MAKE OF FURNACE Model THERMOSTA Va Ive -IC? L-imil - Limit Sstfing Fon Settin9 _ Pilot Type _ Pilof Make _ Pilot Model _ Pilot Timing L.W. Cut 04S CONTROLS Pressure j w Psrcent COZ {? ?h Input CFH M Pereent OZ 6???? Stack Temp. ? Percenf CO 2 Fwm 235 Venf Size Ai?G ?- KIND OF LINER SIZE NONE Draft Hood Ragulaior Fil}ers $ixe 0- _Num6er Chimney Locafion Inside Oulside Chimney Construclion Smoke Bom6Wiring _ ? Drah Door Press.re l Lightin9 lnst. _ Dote Teated ?/2'7/d?+ Compony Teslin g tAevZ"Kc Name oF TesTer VQ/ - HOUSE HEATING TEST RECORD ADDRESS ';?q/J /?? OCAZ n9l APT.-FLOOR OCCUPANT- kfOLNVs GOV, d OWNER J-01, 4?" 35-9 ?, CITY 'MBURB HEAT LO55 DATE HTG. INST. SOLD BY "'UZe C INSTALLED BY Elatfrical Work By - TYPE OF HEAT GA Gas Lina By FA J.A_HW STEAM -SPACE HTR. _UNIT HTR. _OTHER GAS DESIGN CONVERSION MAKE ??Ok MAKE OF BURNER Model 7l'/?Q?? S n7. 45M 1 Model Saial Max. &TU R ' e ` INPl1T MAKE OF FURNA['E Modsl Valvs _v Limit -$i Limit $affiny Fan Setting _ Pilot Type _ Pilof Maka _ CONTROLS _Fleat Plug Pilot Model 'v r / - uIv Pilot Timing 620 L.W. Cut Off ? 11 Prossure &y Parcent CO2 Input CFH Pareanf 02 ,l $tack Temp. Psresnt CO Fam 235 Vsnt Size ? 11Te-? KIND OF LINER SIZE NONE Droff Hood Regularor 32IS-S a- Filters Si:e «I'1i+? Numbsr. , ?-1 Chimney Location Insids Oufside Chimnay Consiruction Smoke Bomb r Wiring 0.afi '.t?hUf?C Test Tag ??,O/ Dow Prassure Lighting Inst. Dofe Tesfad Company Testing Name of Tester HOUSE HEATING TEST ADDRESS A"` _75? ?kIC.APT. _ OCCUPANT ji)WmGS CD12? ? OWNER. HEAT LO55 DATE HTG. INST. SOLD BY ?e??'?1- INSTALLED BY Elecerical Werk By .Gos Line By TYPE OF HEAT GA _ FA __HW _STEAM SPACE HTR. UNIT HTR. A- OTHER ?Ay ?J GAS DES(GN CDNVERSION MAKE /-? D / MAKE OF BURNER _ Model S e j7- ?.ef 0 "S Model Setial 5-60q ??q 417 Mox. BTU Roting INPUT ,2A-140'00 74/ MAKE OF FURNACE Medel CONTROLS - Heaf Plug Va I va .=F,? Limit iQl Limit SeHing Fan Setlin9' Pilot Type - Pilot Make _ Pilot Model _ Pilot Tlmin9 'IV ?c?.. L.W. Cuf Offy Pressure 5/ -?'f,W' L? Percent C02 j,q ffA Input CFH °' 5-7 Pereent OZ 16 Sicck Temp. ?1?VG percent CO 6 RECORD 3 SV FLOOR _CITY 1r4NSU8UR8 Venf $ixe 1( KIND OF LINER SIZE NONE Draf1 Hood _ Repularor 3??? Filrors Size ?- _Nvmber ? Chimney Location Chimney Consirutlion Inside Outaide Smoke Bomb -? _Wiring Dra(1 ?? Tesl Tag? s !? Door Pressure / Lighfing (naf. Date Tested % //2 6.1 Company Testing Nome o{ Teafer Form 235 HOUSE HEATING TEST RECORD ?-`t? AUDRESS 2A 75' Lxn? oaqL O .APT._FLOOR CITYJW?/SUBURB OCCUPANT 5 COrP OWNER HEAT LO55 DATE HTG. INST. SOLD BY U,-e- tiZ?" INSTALLED 8Y Eleetrical Werk By .Cas Line By TYPE OF HEAT GA _ FA HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER ? J GAS DESIGN CONVERSION MAKE ??N,1d1? MAKE OF BURNER. Model '7G?N-IfSa J>j? ? G- Model Sarial 96 LLI_?5cle Max. BTU Rating INPUT MAKE OF FURNACE Model THERMOSTAT CONTROLS Vent Si:e Valve 11 Limi1 Limif $siting_ Fan Setein9 - Pilet TyPe _ Pilot Make - Pilot Mode1 _ Pilot Timing _ L.W. Cut OFf _ KIND OF LINER SIZE NONE Droft Hood - Regulo,or ? Filters Sie ?Z _Numbm ) Chimney Lacation Inside Outside Chimney Construction v? $moke Bom6 -- Wiring _ Drah .'/ut9(/!e Test Tog Donr Prossore_ Lighting Inst. ? OPA Pressure ?J "w? `, percenf COZ --? Date Teseed ?h•+ o L Inpu? CFH I?7? Pereenl O2 73 ?Company Testing OleNf. Sfack 7emp. Percent CO Name af Tester h/p? Fonm 235