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HOUSE HEATING TEST RECORD )1,03J3(YO \� <br /> ADDRESS i `r� �� `V j'}n APT. FLOOR CITY SUBURB <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. ,qc <br /> SOLD BY INSTALLED BY V <br /> Electrical Work By Gas Line By <br /> TYPE OF HEAT GA FA_4_HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE �VIY��X MAKE OF BURNER <br /> Model &W M P "_ ty— 670- U Model <br /> Serial U a Max. BTU Rating <br /> INPUT &44 wo MAKE OF FURNACE <br /> Model _ <br /> CONTROLS <br /> THERMOSTATeat Plug Vent Size <br /> Volvo j KIND OF LINER SIZE Nn E, -— <br /> Limit S Draft Hood (]V, Regulator l <br /> Limit Setting Filters Size Number <br /> Fon Setting Chimney Location Inside Outside <br /> Pilot Typ. Chimney Construction v u N <br /> Pilot Make <br /> Pilot Model Smoke Bomb Wiring <br /> Pilot Timing St L Draft �� Test Tog <br /> L.W. Cut Off —^ Door Pressure ^ Lighting Inst. <br /> Pressure Percent CO2 `�. Dote Tested `" 1 ✓ G <br /> Input CFH ( Percent 02 10 Company Testing <br /> Snick Temp. /�>�_Percent CO <br /> 00 Name of Tester ;� <br />