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HOUSE HEATING TEST RECORD <br />ADDRESS 1 �1 �L L� ::: r _ _ APT. FLOOR CITY <br />OCCUPANT f/m; ► I I L L L _ OWNER <br />HEAT LOSS . _DATE "TG. INST. _ <br />SOLD BY INSTALI <br />Electrical work' By -_.Gas Ling <br />TYPE OF HEAT GA _ FA 17- HW - STEAM ___ SPACE HTR. _ ..__ _UNIT HTR. . <br />j GAS DESIGN <br />MAKE ��.. �� � !y'r-. � �_---- ------___ _MAKE OF BURNER ---- <br />Model ._ 1. _ t < K J 0 .__ _ Model _ <br />Serial . ''' -' _ Max. BTU Rating <br />INPUT L`(1 �� f - MAKE OF FURNACE <br />OTHER <br />CONVERSION <br />Model -- -- - — ----- <br />i CONTROLS !' <br />THERMOSTAT ��i Heat Plug 1______ _ Vent S,:e <br />Valva KIND OF LINER _ ___..___ _ _ _ SIZE <br />Limit __-- _— _ <br />�_ � �___ �_.1�.7 - _ � — Draft Hood —Regulator _ <br />Limit Setting Filters Size I NuwJw _ <br />Fan Setting — ____.—_ Chimney Location Inside_ Outside <br />Pilot Type E / `--- -- _ Chimney Construction <br />Pilot Make <br />Make <br />Pilot Model <br />Pilot Timing <br />L.W. Cut Off <br />t' <br />Pressure J Percent CO2 <br />Input CFH _.-_ ...►Percent OZ— _ <br />Stock Temp. Percent CO <br />Form 235 <br />Smoke Bomb <br />Draft _ a C or _ <br />Door Pressure <br />NONE <br />_-- _ Wiring <br />__. Test Te' <br />L i9hting Inst. _ <br />Date Tested i- /-------- ------ - - <br />Company Testing 01 T' 17 <br />Name of Tostor __�.. <br />