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CoHOUSE HEATING TEST RECORD� <br /> ADDRESS APT. FLOOR CITY SUBURB <br /> gC) � �k� � <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY INSTALLED BY v� j <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 wi MAKE OF BURNER <br /> Model V o Model <br /> Serial G 1 0 5 y 3 Max. BTU Rating V <br /> INPUT MAKE OF FURNACE <br /> Model <br /> CONTROLS �( <br /> THERMOSTAT Feat lug r------- Vent Size <br /> Valve Co j KIND OF LINER SIZE NO <br /> Limit Draft Hood A-- Reguleror Voc- &- <br /> Limit Setting 0() Filters Size w—har <br /> Fan SettingfiLA-yChimney Location Inside0utside <br /> Pilot Type Chimney Construction <br /> Pilot Make k <br /> Pilot Model Smoke Bomb Wiring <br /> Pilot Timing S�L Draft Test Tag <br /> L.W. Cut Off Door Pressure Lighting Inst. <br /> Pressure Percent CO2 �� Date Tested <br /> Input CPercent 02_�� Company Testing <br /> Stack Temp. —�(.�70 Percent CO 010 Name of Tester <br /> Form 235 n ^ �2& n <br />