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HOUSE HEATING TEST REC RD" u I JZ d1J13 <br /> ADDRESS .. w `vklq 1 APT. FLOOR CITY SUBURB <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. �� f <br /> SOLD BY INSTALLED BY <br /> Electrical Work By Gas Lina By <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> t/t h(A0 GAS DESIGN CONY RSION <br /> MAKE MAKE OF BURNER <br /> Modal P C,c ' o— Modal <br /> Serial -W N7 Y Max. BTU Rating <br /> INPUT wo MAKE OF FURNACE <br /> Modal _ <br /> CONTROLS <br /> THERMOSTATHjpot Plug �— Vent Siva_ <br /> Valva b KIND OF LINER SIZ NQN <br /> Limit `� 9 l'-C() Draft Hood � Regulator � <br /> FIT <br /> Limit Setting Filters Size ►dumber <br /> Fon Setting Chimney Location Inside X Outside <br /> Pilot Type )R Chimney Construction �+ <br /> Pilot Make r <br /> Pilot Model Smoke Bomb Wiring (/ <br /> Pilot Timing - Draft Test Tag <br /> L.W. Cut Off f Door Pressure Lighting Inst. <br /> Pressure Percent CO2 'i" Date Tested T <br /> Input CFH L Percent 02 Company Tasting <br /> Stack To I Percent CO 0t(, Name of Taster i <br />