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`?jy HOUSE HEATING TEST RECORD <br />ADDRESS. - - _ APT. -----FLOOR _ <br />OCCUPANT OWNER <br />HEAT LOSS -----.-DATE DATE HTG. INST. _ <br />--CITY <br />SOLD BY ____ _." __.__ __ -_ INS TAL L E n BY.---. ------- <br />Electrical Work By _._—_ ____.___ _ Gas Line By _ <br />TYPE OF HEAT GA ___ FA A.—HW STEAM ---SPACE HTR. __--UNIT HTR. _.OTHER _ <br />GAS DESIGN CONVERSION <br />MAKE V_ _-- MAKE OF OURNER <br />Model idol <br />Max. BTU Rating ----_-- _-- -_ <br />INPUT 10 MAKE OF FURNACE <br />� CONTROLS t <br />THERM TL _— Hoot PlugV4rrt Sit* -- ---- -- -- - <br />Volvo <br />KIND OF LINER SIZE NONE <br />Limit i Draft Hood. Regulator <br />Limit Setting _.----- _-_---.,—� Filters Size t _.._Number --- ------ <br />Fan Setting ___--._. _....__—__ Chiau.ay Location I ide_ _- Outside <br />Pilot Typn _ Chimney Construction __ --- <br />P',"t Make <br />Pilot Model _ — -- ----------.— Smoke Romb _ __ _—Wiring-20- <br />Pilot <br />'TimingDraft __ __ Test To — .-- <br />L.W. Cut Off Door Pressure ('+ Lighting Ins#. <br />Prossun use.�..t--= __-- ! Arcent C 32 _ _._. .___ Dote Tested - -• -4- --- <br />Input CFH Percent 0 - Company Testing _ t -- — <br />Stack Tensp-. _ __ Percent CO __ Nome of Taste+ _ <br />Rif <br />Foray 235 <br />