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. � /o3$v <br /> HOUSE HEATING TEST RECORD <br /> ADDRESS � � �� ` '` �� �� �� <br /> APT. FLOOR CITY `�� � SUBURB � <br /> OCCUPANT OWNER .' � '��'^%° � <br /> HEAT LOSS DATE HTG. INST. '� i� - G�, <br /> SOLD BY �""'���� INSTALLED BY �� i`'' "' I <br /> t' ! , ., <br /> El�ctrical Work By Gas Lin• By <br /> TYPE OF HEAT GA FA `` HW STEAM SPACE HTR. _—UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE ' MAKE OF BURNER i <br /> Mod•I ; � U �, i o •, <br /> Modsl �, <br /> SKiol � � � " ''t Max. BTU Ratiny <br /> INPUT `' MAKE OF FURNACE �f <br /> Model �`�` <br /> CONTROLS <br /> �� <br /> THERMOSTAT ' " Heat Pluy V�nt Size <br /> Volvs KIND QF LINER �` �'' ' ' 1` SIZE � NONE <br /> Limit ` ,;% Draft Hood R�qularor <br /> Limit S�ttiny Filt�rs $ize t � � '� `�� Number � <br /> Fan Settiny Chimn�y Locotion Insids Outside <br /> Pilot Type Chimnsy Construcfion ' <� f ' �� <br /> Pilot Make ��� -�� �E - i�� <br /> � r`,. <br /> Pilot Modsl - -- $moks Bomb Wiring <br /> __. <br /> �_.. <br /> Pilot Timiny `"�� D►aft Test Teg � <br /> L.W. Cut Off Door Pressuro Lightin9 Inst. _ S <br /> Prosaur� � P�rc�nt CO� �` �� Date T�st�d �' '� � � �' <br /> I�put CFH � ;"� P�rc�nt Q `� J� Company Testing �a' '' ! /'%•� l.� � <br /> 2 <br /> Stack Temp. "� �'� P�rc�nt CO G'� Name of Test�r �'' '' � �r= <br /> Form 235 <br />