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HOUSE <br />HEATING TEST RECORD <br />ADDRESS D e <br />OCCUPANT / <br />HEAT LOSS 0. DC 0,ATE HTG. INST. <br />SOLD BY i - <br />Electri..t Work By <br />TYPE OF HEAT GA _.____ FA HW <br />APT. FLOOR ._ —CIT f0r UBURB <br />OWNER __13 <br />INSTALLED BY <br />Gas Line By <br />__ STEAM SPACE HTR <br />UNIT HTR. OTHER <br />A // AS DESIGN <br />MAKE ��y Lktj4jM .9 ____ MAKE OF BURNER <br />Model-jk��lty7-1� —1Oil _ _—•--� Model — - <br />Serial _ A 4CO Z.•$ 7 Max. BTU Rating <br />INPUTMAKE OF FURNACE <br />TROLS <br />L unit <br />- <br />Limit Setting �c <br />- ---- <br />Fan Setting I j. fjv t4 AJ-- <br />Pilot Type ' L f <br />Pilot Make <br />- <br />P i I of Model _ <br />Pilot Timing' <br />_ <br />— <br />L . W Cut Off <br />Pressures ?.:2 <br />i Percent COZ <br />Input CFH 1X' <br />Percent OZ - - <br />Stock Temp. Z :L t J9451, Percent CO <br />Model <br />CONVERSION <br />�7 I/ <br />Vent Size --- <br />KING OF LINER SIZE <br />Draft H000 Regulator <br />Fi Iters Size _- Number -- <br />Chimney Location Inside <br />Chimney Construction <br />Smoke Bomb _ Wkino _ <br />Draft 10d At-a)IIKTest Too <br />Door Pressure - — Lighting Inst. <br />Outside <br />Date Tested -.._ <br />Company Testing <br />Name of Tester _ <br />Form 235 <br />