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HO SE HEATING TEST RECORD 'Q0(049�n/ 0�U�� <br /> ADDRESS / d � APT. FLOOR CITY SUBURB 0""ko <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY INSTALLED BY - <br /> Electrical Work By Gas Line By - <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE AVq1qkOr MAKE OF BURNER <br /> Model --U I(. 1 qO G Model <br /> Serial d Max. BTU Rating <br /> INPUT N O MAKE OF FURNACE <br /> Model <br /> CONTROLS li <br /> THERMOSTAT " Heat Plug �^ Vent Size_ <br /> Volvo Zi KIND OF LINER SIZE NQN <br /> Limit S �hCU Draft Hoods Reguloror f i � <br /> Limit Setting ' Filters Size umber <br /> Fan Setting Chimney Location Inside 0tside <br /> Pilot TypeIV' SbIL Chimney Construction <br /> Pilot Make !�w <br /> Pilot Model Smoke Bomb Wiring <br /> Pilot Timing Draft Test Tog <br /> L.W. Cut Off ry Door Pressure Lighting Inst. <br /> Pressure-31) Percent CO 2 li1� Date Tested ;1_63 <br /> Input CFH L Y, VOCI-7v dU Percent OZ Company Testing <br /> Sack Timp. Percent CO 010 Name of Tester <br />