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- - '1 <br />ADDRESS _L <br />OCCUPANT <br />HEAT LOS <br />SOLD I <br />Electrical Work By <br />TYPE OF HEAT <br />MAKE <br />Model <br />Soria I <br />INPUT <br />THERMOST� <br />Volvo <br />Limit <br />Limit Setting <br />Fan Setting _ <br />Pilot Type _ <br />Pilot Make _ <br />Pilot Model <br />Pilot Timing <br />L.W. Cut Off <br />C;F''-' u - c, <br />40ATE HT <br />GA <br />HOUSE -HEATING TEST RECORD�/� <br />APT. B CITY <br />OWNER <br />SUBURB �- nr' <br />INSTALLED BY i1zL_ <br />Gas Line By <br />_FA HW STEAM SPACE HTR. UNIT HTR. OTHER — <br />GAS DESIGN <br />j4 CONTROLS <br />CONVERSION <br />►KE OF BURNER _ <br />del <br />x. BTU Rating — <br />►KE OF FURNACE <br />Model <br />Vent Size _ <br />KIND OF LINER L�Z�1� SIZE NONL <br />Draft Hood Regulator <br />Fi Iters Size Number <br />Chimney Location Ii I� tside <br />Chimney Construction V •2241 <br />Smoke Bo ib Wiring <br />Draft Test Tag <br />Door Pressure Lighting Inst. <br />I� <br />Pressure Percent CO2 — — Date Tested <br />Input CFH Percent 02 Company Tea <br />Stack Temp. _ Percent CO Name of Test <br />Form 235 <br />