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�-��� ��q s-� ~f:� <br /> HOUSE HEATING TEST RECORD <br /> ADl�RESS ���' � S�+c�b ,.- c.[�e'•,GcY�j �� APT. FLOOR CITY SUBURB <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. u <br /> SOLD BY INSTALLED BY S�� �� ���� <br /> Electricol Work By Gas Line By r �'�� �� ���� <br /> TYPE OF HEAT GA FA �/HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> / GAS DESIGN CONVERSION <br /> MAKE l �'�Z� �� ''x MAKE OF BURNER <br /> Mod�l �-� ����� ��� I� Model <br /> $eriol s���L ��E�US � Max. BTU Rating <br /> INPUT ��--������ MAKE OF FURNACE <br /> Model <br /> CONTROLS <br /> i <br /> 7HERMOSTAT _ �'�' Heat Plug _ Vent Size � � �`l�- — <br /> Valve ) �"- KIND OF LINER ` SIZE NONE <br /> Limit (�/� � ����� Draft Hood Regularor <br /> Limit Setti�g �� � Filters Size Number <br /> Fan $etting �`���� � �� Chirr�ey Location Inside Outside _ <br /> � � <br /> Pilot Type -� ' Q �- ���'�+�L Chim�ey Construction r_ r '�Ll''� <br /> Pilot Make — <br /> Pilot Model Smoke Bomb Wiring L/ <br /> Pilot Timing ��i � � � Draft Test Tag �� <br /> L.W. Cut Off Door Pressure Lighting Inst. �'� <br /> � �� � � <br /> Pressure � Percent COZ � Date Tested <br /> lnput CFH—��� Percenf OZ � Company Testing �/`^ L <br /> Stack Temp. �—Percent CO �%���7 � Name of Tester < ��J<<� <br /> Form 235 <br />