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P�,,� � ��� � �Ya� <br /> � HOUSE HEAT�NG TEST RECORD <br /> ADDRESS � " �'�r �� �vu J �" � �D APT. FLOOR CITY SUBURB �""' k� <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY INSTALLED BY O� L <br /> Electrical Work By Gas Lins By �5�� <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERS �1 �. ¢'' <br /> MAKE _ ��� MAKE OF BURNER — <br /> Modsl �' � a � Model <br /> $erial � Max. BTU Rating <br /> INPUT ��� MAKE OF FURNACE <br /> Model <br /> CONTROLS �� <br /> THERMOSTAT H a Plug �^ Vent Size <br /> Valve KIND OF LINER SIZE NONE <br /> Limit Draft Hood Regulator k�• <br /> Limit Setting Filters Size Number <br /> Fan Setting �� �- � Chimnsy Location Inside�0utside <br /> �� <br /> Pilot Type l ��� Chimney Construcfion ���� <br /> Pilot Make � <br /> Pilot Model $moke Bomb Wiring <br /> Pilot Timing Draft Test Tay <br /> L.W. Cut Off Door Pressu►e Lighti I at. <br /> Prossure � Percent COZ �6 Date Tested � � <br /> Input CFH � Percent 02 Company Testing T <br /> Stack Temp. � Percent CO Name of Tsster <br /> c <br /> Form 235 <br />