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g r *1 oY1 <br /> fele(# HOUSE�HEATING TEST RECORD <br /> ADDRESS O ` Cd k1#4- APT. FLOOR CITY SUBURB t-10 <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. on <br /> SOLD BY INSTALLED BY <br /> Electrical Work By Gas Line By WL ^ <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GASSIGN CONVERSION <br /> MAKE K MAKE OF BURNER <br /> Model Model <br /> Serial Max. BTU Rating <br /> INPUT MAKE OF FURNACE <br /> Model <br /> CONTROLS <br /> THERMOSTAT H t 1 �^ Vent Size <br /> Valve KIND OF LINER,1 �SIZE ONE <br /> Limit �9 �r-U Draft Hood ' Regularor & � <br /> Limit Setting Filters Size N..-6&r <br /> Fan Setting Chimney Location Inside Outside <br /> Pilot Type Chimney ConstructionAjq <br /> 0\1C <br /> Pilot Make <br /> Pilot Model Smoke Bomb Wiring <br /> Pilot Timing �C— Draft Test Tag <br /> L.W. Cut Off Door Pressure Lightin Inst. <br /> Pressure 31 Percent CO2 7, Date Tested <br /> Input CFH 4 \ Percent 02 7, Company Testing r <br /> 7 Al (Cff- <br /> Stack Temp. Percent CO Name of Tester --I-- d .": �� <br /> Form 235 6 <br />