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aw <br /> 7'501HOUSE HEATING TEST RECORD 1 -`" �or �r <br /> ADDRESS YSs APT. FLOOR CITY -SUBURB"�L�JL^ <br /> . 00CUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. \( <br /> SOLD BY INSTALLED BY Y <br /> Electrical Work By Gas Line By <br /> TYPE OF HEAT GA FA_2�,­HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE MAKE OF BURNER <br /> Model U Model <br /> Serial 1 Max. BTU Rating <br /> INPUT MAKE OF FURNACE <br /> Model <br /> CONTROLS <br /> T _ h <br /> THERMOSTAHeat Plug Vent Size <br /> Volvo aros KIND OF LI ER SIZE NONE )S, <br /> Limit ins (33 Draft Hood �(ZpF1 "FAw Rogularor <br /> Limit Setting---A-V) Filters Size E. A I C, Number <br /> Fan Setting m is-v Chimney Location Inside X Outside <br /> Pilot Type S P A 2 k,_ -- KIT! 0 IJ Chimney Construction—Q 'I py C- <br /> Pilot Make <br /> Pilot Model Smoke Bomb s Wiring <br /> Pilot Timing Draft ULA VET Test Tag <br /> L.W. Cut Off Door Pressure — Lighting Inst."I <br /> Pressure—J l lA Percent CO2 Date Tested g'-Lq -9 1 <br /> Input CFH 1 O Percent 02 Company Testing r / NG <br /> Stack Temp. Percent CO ©/a Name of Tester —LTA r�T• <br /> Form 235 <br />