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ADDRESS <br />OCCUPANT <br />HEAT LOSS <br />SOLD BY <br />Electrical Work By <br />TYPE OF HEAT <br />MAKE <br />Model _ <br />Soria I _ <br />INPUT <br />t' 0 <br />DATE'H . INST. <br />GA FA HW <br />GAS DESIGN <br />HOUSE HEATING TEST RECORD <br />APT. -- FLOOR <br />t L-� OWNER _ <br />_STEAM <br />CITY ---SUBURB <br />_.__INSTALLED BY- ---,\=iZ <br />—Gas Line By �.� --t %, <br />_ SPACE HTR. UNIT HTR. OTHER <br />MAKE OF BURNER <br />Model <br />_ Max. BTU Rating - <br />- MAKE OF FU AC <br />Model <br />VERSION <br />L <br />CONTROLS <br />THERMOSTAT Heat Plug Vent Size U _ <br />Volvo -- KIND OF LINER SIZE___._.NON E __._. <br />Limit Draft Hood RegulaTor __.. <br />Limit Setting _ Filters Size Number <br />Fan Settino _ _ Chimney Location Insi,C4 Outside <br />Pilot Type _ Chimney Construction—__— <br />Pilot Make <br />Pilot Model — Smoke Bomb Wiring .< < <br />Pilot Timing Droft .__ _ Test Tag---e, <br />ag_ e <br />L.W. Cut Off Door Pressure Lighting Ins#. �- <br />Pressure Percent CO2 Date Tested <br />Input CFH Z' Percent 0 Company Tes <br />2 <br />Stack Temp. ,'' Percent CO — Name of Test <br />Form 235 , <br />