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HOUSE HEATING TEST RECORD <br />ADDRESS _ 0�1 A _ -APT. ------FLOOR —.CITY SUBUR64 - t is <br />OCCUPANT __:-��'-•��Itti—_ I �; ,I. ----_ __OWNER-- -- <br />HEAT LOSS DATE HTG. INST. <br />SOLD BY _ _ _ INSTALLED BY <br />Electrical Work by -- — _ _-�- _- _ _ _ Gas Line B _ <br />r <br />TYPE OF HEAT GA ____ FA __�(__ .HW _ STEAM _ SPACE HTR. ____ UNIT HTR. ---OTHERi� <br />� 1 iGAS DESIGN CONVERS101i 6 198 I <br />MAKE 4V ��" r �Qj _.__ _—___.___ MAKE OF BURNER <br />Model — - -�r�� 1 o _. - Model --- --------- --- <br />Seriel-�44-782---- Moe. BTU, -sing - - - - --- - --- -- <br />INPUT _ —_—_ _ ___ 1C1__. MAKE OF FURNACE <br />Model <br />CONTROLS <br />J� r <br />THERMOSTAT Hoot Plug _ ! Vent Size ;L <br />Valve —____-___ _ _ KIND OF LINER _ _ - _ SIZE _ _—__ __.__ NONE -- <br />Limit Draft Hood _ _ . _ Regulator _ --- <br />Limit Se"ing Filters Size Numder __ Z <br />Fan Setting — _____ _ Chimney Location Inside Outside <br />Filet Type Chimney Construction 12 <br />Pilot Make <br />Pilot Model _ Smoke Bomb Wiring <br />Pilot Timing _ _-- - -----._. _ # Test Too v..r. <br />L.W. Cut Off Door Pressure _ _ __ . Lighting Inst. <br />Pressure 3' _ -- __-- Percent CO2 Do Tested �' r ` _�_11 _ - -- __ <br />Input CFH �0� _ it <br />Percent 02-ompony Testinq x-- - - - - - --- — <br />Stuck Temp. __ __ Nome of Tester <br />Form 235 i_ - <br />