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# `tG7 3 � ���� ✓ <br /> f �� HOUSE H EATING TEST RECORD <br /> ADDRESS I���y "�' �`� APT. FLOOR CITY SUBURB 0'` U <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY INSTALLED BY 66 t f <br /> n <br /> Electrical Work By Gas Line By <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS D tGN CONVERSION <br /> MAKE MAKE OF BURNER <br /> Model Model <br /> Serial Max. BTU Rating <br /> INPUT MAKE OF FURNACE <br /> Model <br /> CONTROLS E( <br /> THERMOSTAT t Plug r �� Vent Size <br /> Valve Q'7 LKIND OF LIN SIZE NONE <br /> Limit CA n- Draft Hood ARegularor <br /> Limit Setting Filters Size Nu er <br /> Fan Settingt I Chimney Location inside Outside <br /> Pilot Type Chimney Construction <br /> Pilot Make r 129 L, t <br /> Pilot Model Smoke Bomb Wiring <br /> Pilot Timing L Draft Test Tag <br /> L.W. Cut Off "`---- Door Pressure Lighting Inst. <br /> Pressure Percent CO2 Date Tested <br /> Input CFH Percent 02 Company Testing <br /> Stack Temp. Percent CO Name of Tester <br /> Form 235 <br />