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J <br /> p,,,, <br /> HOUSE HEATING TEST RECORD /� <br /> ADDRESS ren a-U 9m APT. FLOOR CITY �"QBURB <br /> OCCUPANT gekCA lg _ OWNER _4(2A P- <br /> HEAT LOSSD TE HTG. 1 ST. `Q <br /> SOLD BY INSTALLED By — <br /> Electrical <br /> Y Electrical Work By 6tr <br /> 3 Gas Line By <br /> TYPE OF HEAT GA FA __)_HW STEAM ,___SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE 1e/"1/o ^ ^� MAKE OF BURNER <br /> Model (1_'14+ /Y""..[ Model _ <br /> Serial . �n 4 K __ Max, BTU Rating <br /> INPUT MAKE OF FURNACE <br /> Model <br /> CONTROLS <br /> THERMOSTATTO' q` •a lu Vent Size �j J <br /> Valvew� ___ KIND OF LIN�(2 _ SIZE NONE <br /> Limit 1,00/p, Draft Hood Regulator <br /> Limit Setting { Filters Sise umber <br /> Fon Setting �[M Chimney Location Inside Le< Outside <br /> o <br /> Pilot Type — Chimney Construction <br /> Pilot Make <br /> Pilot Model Smoke Bomb _ Ll Wiring <br /> Pilot Timing Draft foe Test Tog <br /> L.W. Cut Off __ Door Pressure Lighting Inst. <br /> Pressure — tom Percent CO2 — Dote Tested _ ` <br /> Input CFH__ � _Percent 02 Company Testing C � <br /> Stock Temp. Percent CO Name of Tester <br /> - <br /> ------------------- <br /> -------------- <br /> -------------- <br /> -------------------- <br /> -------------- <br />