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� /-.�s�-� I��'�G'�� HOUSE H EATING TEST RECORD � �� / <br /> r <br /> ..✓ ` /1 <br /> AC�DRESS ���_) `�g� � C.-i%�:t�.c��s ���+ APT. FLOOR GTY SUBURB <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. , <br /> SOLD BY INSTALLED BY `2ti� � ��^ ��,�_ (c _ <br /> Electrical Work By Gas Line By S r--�� �� ���. <br /> TYPE OF HEAT GA FA ✓ HW _STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE �-��"�=��C MAKE OF BURNER <br /> Model � ���L, �.� — ��`' � Model <br /> �— <br /> Serial .%����� Q �� 1� Max. BTU Rating <br /> INPUT LUC=,C%��� MAKE OF FURNACE <br /> Model <br /> � CONTROLS '� �� t� � <br /> THERMOSTAT _� �C{�� Heat Plug _ Ve�t Size rx N �— <br /> Valve � � c KIND OF LINER t SIZE NONE <br /> Limit �� - '�^-� L'y����� Drah Hood RegulaTor <br /> Limit Setting l 7��p Filters Size Number <br /> Fan Setting / �C� � `� Chimney Location Inside Outside _ <br /> i, r� <br /> Pilot Type � ��L�-2�Vtc_ Chimney Co�struction ' �'�/�-� <br /> Pilot Make _ <br /> Pilot Model Smoke Bomb Wiring L� <br /> Pilot Timing �� �C�- Draft Test Tag �� <br /> L.W. Cut Off Door Pressure Lighting Inst. �� <br /> li � �7�� <br /> Pressure Percent CO2 `s' Date Tested U <br /> Input CFH u Percent OZ � � Company Tasting j !�4�' �> <br /> ��n �'�� <br /> $rncic Temp. ���� Percent CO ������� Name of Tester S-�R�1 C � <br /> Fcrm 235 <br />