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1 <br />ADDRESS <br />OCCUPANT <br />HEAT LOSS <br />SOLD BY <br />EATING TEST RECORD <br />EUctrical Work By <br />TYPE OF HEAT GA <br />iIGN <br />HW <br />INPUT <br />d 9 <br />Limit <br />COJ^TROLS <br />— Heat Plug <br />Limit Setting_■* ^ <br />Fon Setting f <br />Pilot Type <br />Pilot Moke <br />~ 9 <br />Pilot ________ <br />Pilot TimSny^^^ ^ <br />L.W. Cut Off __________________ <br />Pressure __ <br />». '• <br />SUBUR <br />INSTALLED BY <br />Gas Lino By______ <br />STEAM SPACE HTR.UNIT HTR.OTHER <br />Input CFH- <br />Stock Tem** <br />Form 235 <br />•Percent CO, <br />Percent 0. <br />Percent CO <br />M <br />CONVERSION <br />i* <br />MAKE OF BURNER <br />Model____________ <br />Max. BTU Rating___ <br />MAKE OF FURNACE <br />Model_____________ <br />Vent Size A" <br />KIND OF LINER _ <br />Draft Hood_____ <br />Filtors Slio <br />Chimnoy Location <br />Chimnoy Construction <br />Smoko Bomb <br />Draft <br />c^2t^jL^ jy SIZE NONE. <br />Rogularor <br />.Numbfr <br />Outside <br />Door Prossur <br />Dato Tostod <br />Company Testing <br />Name of Tester .. <br />-Wiring A/fi ^ <br />-Test Tog-----Q/^ <br />Lighting Inst.