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ADDRESS 7 Gam' <br />OCCUPANT <br />HEAT LOSS <br />SOLD BY '/7-01 <br />Elec)rical Work By <br />TYPE OF HEAT <br />MAKE <br />Mode <br />Soria I <br />INPUT <br />HOUSE HEATING TEST RECORD <br />DATE HTG. INST. <br />GA FA HW STEAM <br />APT. FLOOR � CITY <br />OWNER /I— —_ <br />SUBURB <br />-- INSTALLED BY <br />Gas Line By _�—__-- <br />SPACE HTR. UNIJ HTR.—__OTHE ___.__ <br />MAKE OF BURNER —_ <br />Model —_ <br />Max. BTU Rating —_ <br />MAKE OF FURNACE — <br />Model _� _ <br />CONVERSION <br />CONtROLS <br />THERMOSTAT''` Heotplug <br />Vent Size <br />Valve - .t / <br />— <br />KIND OF LINER <br />"� —_ SIZE —NONE <br />Limit __ <br />Drcit Hood <br />Regulator <br />Limit Setting G y <br />Fi Iters Size <br />Ntimhar <br />Fan Setting <br />Chimney Location Insi <br />, f Oysside <br />Pilot Type <br />Chimney Construction <br />— <br />Pilot Make <br />-d0 <br />Pilot Model V IF <br />-76T <br />Smoke Bomb <br />Wiring <br />Pilot Timing Q p ss 22 'C <br />Daft <br />—Test Tag <br />— <br />L.W. Cut Off "r <br />Door Pressure— — <br />Lighting Inst. <br />Pressure Percent CO2 <br />— Q <br />Date Tested /" <br />4 <br />Input CFH Percent 02 <br />Company Testing <br />Stock Temp. ,�Q�Q Percent CO <br />Nome of Tester <br />Form 235 <br />