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_ w <br />HOUSE HEATING TEST RECORD <br />ADDRESS 'vQ� APT. FLOOR CITY 3.�_S000RB <br />OCCUPANT OWNER <br />HEAT LOSS DATE HTG. INST. <br />SOLD BY �� - - INSTALLED BY - <br />Electrical work By Gas Line By <br />TYPE OF HEAT GA FA Hw STEAM SPACE HTR. UNIT HTR. OTHER <br />/ GAS DESIGN CONVERSION <br />MAK E L fy'y�_' MAKE OF BURNER <br />Morel ! J`� �� �c 7 `lG1C" •� - Me" _ <br />Serial JS'3��. C�j/� tiles. STU Rating <br />INPUT ��'`" - MAKE OF FURNACE <br />Morel <br />CONTROLS <br />THERMOSTAT --Heot Plug <br />Volvo <br />Limit <br />Limit Setting <br />Fen Setting - <br />Pilot Tyke <br />Pilot Make ' <br />Pilot Morel <br />Pilot Timing <br />L.W. Cut Off <br />Pressure �r Percent COZ <br />Iryut CFM Percent 0 .4 e' <br />St■cl► Tewy. <br />G Percent CO ei <br />Vont Size <br />KIND OF LINER ����`! SIZE�NONE <br />Drell Hoer <br />Reguiaim <br />Filters Size Mnmbw <br />Chimney Location IMae ro �' —Outside <br />Chimney Construction <br />I!'L <br />$00ke Bomb <br />Draft <br />Wiring <br />Test Tog I/ <br />Doer Pressure -Lighting Inst. <br />Date Tester <br />Com"rny Testing <br />Nome, of Taster ` <br />