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HOUSE HEATING TEST RECORD �'7 9�� v <br /> ADDRESS �u � %� /C APT. FLOOR CITY SUBURB ����'?�'� <br /> OCCUPANT _i l` �irn e OWNER <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY c— INSTALLED BY �c-[��, ����� GN ->y-�? <br /> El�ctricol Work By ��!/l�s''"` ���' l� Gas Lin• By / <br /> TYPE OF HEAT GA FA�HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> .� GAS DESIGN CONVERSION <br /> MAKE ,�/n� ����� MAKE OF BURNER <br /> �—:. <br /> Modsl ��C,s'���/{.f`Gl Model ' <br /> Sxial �'1G�L7I��/ 7 Max. BTU Ratiny r��� <br /> INPUT ��`d�-�� MAKE OF FURNACE <br /> Modsl <br /> /, ' /CONTRO�S / � /� <br /> THERMOSTAT� Heat Plug —� Vent Size S <br /> Volvs -�� KIND OF LINER SIZE NONE� <br /> Limit y'� Droft Hood RsyulaTor <br /> Limit S�ttiny � Fi It�rs Size����5��� N mber � <br /> Fan Settiny �n'- Chimn�y Loeation Inside��j0utsid• <br /> Pilot Type y �-�- Chimney Construction ��1+53 /J <br /> Pilot Make �G/ <br /> Pilot Model Smoke Bomb�� Wiriny� <br /> Pilot Timing �'� S-��_ Draft GD°`f% T�st Tay ✓� <br /> L.W. Cut Off Door Pressure Liyhtiny Inst. � <br /> / .5-- e'�. ) _ � " <br /> Prossuro ,3'� P�reentCO2 Dote Tested <br /> Input CFH �S� Percent OZ Company Testing r <br /> $tack Temp. �3� P�rcent CO Name of Tester � � <br /> Form 235 <br />