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HOUSE ' H EATING TEST RECORD <br />ADDRESS ; <br />OCCUPANT C"`, <br />lrwz tit," I. - <br />APT. FLOOR CITY ivl's, SUBURB <br />OWNER--- <br />HEAT LOSS DATE HTG. INST. , <br />SOLD BY iK"- I INSTALLED BY <br />Electrical work By 1 Gas Line B i <br />r <br />TYPE OF HEAT GA FA '` HIN STEAM _ SPACE HTR. UNIT H R. OTHER — <br />t GAS DESIGN <br />MAKECi`�� 1ti�1�'�- MAKE OF BURNER _ <br />Model �� l i- �L' Model <br />Soria) l ' , � �' �� fI'� �' Max. BTU Rating — <br />INPUT «- c� rC C MAKE OF FURNACE <br />CONTROLS <br />THERMOSTAT �� , Heat Plug L <br />Volvo <br />Limit's `\ <br />Limit Setting <br />Fan Setting <br />r <br />Pilot Type <br />Pilot Make <br />Pilot Model <br />Pilot Timing y 7 �� k <br />L.W. Cut off <br />Model <br />•i <br />Vent Size <br />CONVERSION <br />KIND OF LINER(' rCL:_• SIZE NONE <br />Draft Hood ✓ Regularor <br />Filters Size II jNumber <br />Chimney Location Inside Outside _- <br />Chimney Construction <br />Smoke Bomb <br />Draft <br />Door Pressure - <br />Wiring " _ <br />Test Tag <br />1 .L.:-- I--• <br />Pressure Percent CO2 4 Date Tested _ <br />Input CFH �� Percent 02 Company g Testin <br />Stack Temp. �� > Percent CO �`�'�'y'� Name of Tester <br />Fore, 235 <br />