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1 C) 3 C&9 V_c� 1313 <br /> / 1, HOUSE HEATING TEST RECORD U-rona <br /> ADDRESS 0 k-t2Op, o/+f) APT. FLOOR CITY SUBURB <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY INSTALLED BY V66771 717�E 12'(4 <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 PlVAG MAKE OF BURNER <br /> Model — Model <br /> Serial Max. BTU Rating <br /> INPUT OW MAKE OF FURNACE <br /> Model _ <br /> CONTROLS (9 ci <br /> THERMOSTAT Hoot Plug —J Vent Size_ <br /> Valve l 12 0 r KIND OF LINER SIZE NO <br /> Limit -TE,-CC) Draft Hood Regularor <br /> u <br /> Limit Setting Filters Six• N ber <br /> Fan Setting Chimney Location InsideOutside <br /> Pilot Type Sv Chimney Construction 2\1C <br /> Pilot Make <br /> Pilot Model Q� Smoke Bomb Wiring <br /> Pilot Timing 3 SEL Draft Test Tag <br /> L.W. Cut Off --- Door Pressure Lighting Inst. <br /> Pressure ` Percent CO2 3 Dote T•ated Q _ <br /> Input CFH Percent 02St K Company Testing V Q& <br /> Stack Temp. /��► Percent CO 0#0 Name of Tester Ui.ti <br />