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��rr <br /> HOUSE HEATING TEST RECORD <br /> ADDRE55 /�� � f'>" APT. FLOOR CITY SUBURB i..�-�— <br /> OCCUPANT OWNFR <br /> HEAT LOSS DATE HTG. INST;� ; <br /> SOLD BY INSTALLED B <br /> Electrical Work By Gas Lin• By <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. NIT . OTHER <br /> GAS DESIGN � C�� CONVER510 <br /> MAKE h -;M�C�F�RNER � „ <br /> Model T(�[o/�?r"��?fv��� ���� Modsl ' p►Y � <br /> Ssriol �,�ti'�����/�� Mox. BTU Rafi�y �7 �ih�CB�Q V8. O. <br /> INPUT /����C,�-��d.C' MAKE OF FURNACE �� ��`�"�7 <br /> Model '�. � <br /> CONTROLS /! �'i � <br /> THERMOSTAT Heat Pluy V�nt Siz• �' <br /> Valve KIND OF LI ER SIZE NO,NAE� <br /> Limit Drak Hoo � ' RsyulaTor ��� � r''Q� r <br /> Limit Setting � � Filters iz��-��.� Number <br /> Fon Setting - - Chimn�y Locotion Inside�0utside <br /> Pilot Type �r Chimnsy Construetion <br /> Pilot Make ��+��_ <br /> �. �5�-;? ' � `1" <br /> Pilot Model ~1� �� '� Smoke Bomb � M�i�in9 — <br /> Pilot Timing �.�c�- '� � ' Draft Test Toy �-5 <br /> L.W. Cut Off Door Pressure I Liyhtiny� at. P <br /> � � � <br /> Prossure�''� P�reent COZ Date Tested <br /> Input CFH ��0 Perc��t O� Company Testing '� � <br /> Stock Temp. � ���—_Percent CO Noms of Tsster �' � <br /> Form 235 <br />