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,�. t�oG� ����c -- - <br /> ���('C HOUSE HEATING TEST RECORD <br /> ADDRESS � �� �� `�L'�` �`� �<<`� 1J `{' APT. FLOOR CITY SUBURB ��L\��� <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. �/ / <br /> SOLD BY INSTAL1LED BY `t ��` � �!� 't v` , • � � <br /> Electrica) Work By Gas Lins By - � � , <br /> TYPE OF HEAT GA FA HW STEAM--SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE �"L�� ��� MAKE OF BURNER <br /> Model V C. � � I_7 ` L Model ^ f <br /> �..� � �. _ . . <br /> Sxiol Max. BTU Rating <br /> INPUT �� L� MAKE OF FURNACE <br /> Model <br /> _--- CONTROLS � (j <br /> THERMOSTAT ��"'� ' Heat Plug Vsnt Size <br /> Valve ��� KIND OF LINER SIZE NON�, <br /> L <br /> Limit �� Draft Hood _ y�'� Reqularor C � �i1 �` <br /> Limit Setting �� Filters Size Number <br /> Fa� Setting � U Chimney Location Inside �_ Qu side <br /> Pilot Type � �-�7 ' �'��- �}��' Chimney Construction � �� �� � � i <br /> Pilot Make r1`L �}L , L <br /> Pilot Model - 2-�'— $moke Bomb —M�iring �-�`1 L f�'�i��� <br /> Pilot Timing � � �"`' Draft L Test Tay <br /> L.W. Cut Off Door Pressure Liyhtiny Inst. <br /> ,� / �; <br /> Prossuro ���; Percent CO2 � Date Tested L � � � � <br /> Input CFH �� � � Percent 02 Compeny Tes*'�� ,���.._-=.�— f <br /> Stack Temp. Percent CO �%<<-� Name of Testsr �r�r�� � <br /> Form 235 <br /> I <br />