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r LJ <br />ADDRESS <br />OCCUPANT 0 �L _%Cj <br />HOUSE HEATING TEST RECORD <br />APT. FLOOR CITY SUBURB <br />OWNER --:,1 <br />HEAT LOSS DATE HTG. INST.1 %" .30 ' ry <br />SOLD BY G 4 1 `7 F-10 i,�` 't N /� �� 1'---�— INSTALLED BY7` <br />Electrical Work Bya G <br />ly'a- <br />s Line By n' "F "'# <br />TYPE OF HEAT GA _ FA HW _S - STEAM SPACE HTR. UNI HTR. OTHER <br />GAS DE IGN , r <br />MAKE i L A/ MAKE OF BURNER _ <br />Model Cr Model <br />Serial 67, Max. BTU Rating — <br />INPUT A2s e' MAKE OF FURNACE <br />Model <br />r. j?IONTROLS <br />THERMOSTAT Heat PI Vont Size <br />Volvo yf f-" J - U-' — KIND OF LINER <br />CONVERSION <br />SIZE_ NONE <br />Limit iy Draft Hood U� 't . Reguloror <br />l� A <br />Limit Setting Filters Size Number <br />Fan Setting t'� Chimney Location Inside ✓ Outside <br />Pilot Type y `• , ,Y :' Chimney Construction e,; <br />Pilot Make <br />Pilot Model l' f ' Smoke Bomb <br />Pilot Timing Draft <br />Wiring — <br />Test Tog <br />L.W. Cut Off 'J �' Door Pressure Lighting Inst. <br />Pressure : S —Percent CO M Date Tested <br />a <br />Input CFH 0 �'�' Percent 02 Cowpony Testing <br />Stock Temp. & � f 0 Percent CO2 _ L, lf` Nome of Tester <br />Form 235 <br />