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X / / HOUSE HEATING TEST RECORD <br /> ADDRES �� 'rO,c 6�v.� r d APT.-FLOOR-CITY '*/"&Ay <br /> SUBURB <br /> OCCUPAT p'=f�,y(Y1? OWNER <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY INSTALLED BY <br /> Electrical Work By Gas Lina By <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE 4e-eb 0 X MAKE OF BURNER <br /> Model _�./'� - W-y <br /> Model <br /> Serial - 6 004 K.3-7 040 Max. BTU Rating <br /> INPUT !�000 MAKE OF FURNACE <br /> Model <br /> CONTROLS <br /> THERMOSTAT ad Heat Plug Vent Size <br /> Valve 1 .1i'✓ .f� KIND OF LINER SIZE NONE <br /> Limit Draft Hood Regulator <br /> Limit Setting Filters Size Number <br /> Fan Setting Chimney Location Inside Outside <br /> Pilot Type C4. Chimney Construction <br /> Pilot Make <br /> Pilot Model Smoke Bomb Wiring <br /> Pilot Timing Draft Test Tog <br /> L.W. Cut Off Door Pressure Lighting Inst. <br /> Pressure 3� S Percent CO2 S Date Tested iz Hlol <br /> Input CFH 0 <br /> � Percent 2 ein Company Testing <br /> p <br /> Stock Temp. �0_ Percent COl��_ Nome of Tester �fh K- <br />