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`, HOUSE TING TEST RECORD IPt <br />ADDRESS APT. FLO—CITY SUBURB atek4s, <br />OCCUPANT <br />OWNER <br />HEAT LOSS HTG. <br />SOLD BY 2D _ INSTALLED BY <br />Electrical Work By Gas Line By — da2z,L1_ <br />TYPE OF HEAT GA FA HW STEAM ___ _SPACE HTR. UNIT HTR. OTHER <br />MAKE <br />Model <br />Soria I <br />INPU1 <br />CONTROLS <br />THERMOST.%T Heat Plug <br />Valve j�1r <br />Limit / <br />Limit Setting <br />Fan Setting <br />Pilot Type <br />Pilot Make <br />KE OF BURNER <br />,Jel <br />tax. BTq,jpel ng— <br />MAKE OF FURNACE <br />Model <br />4r' <br />Vent Size (!i <br />KIND OF LINER <br />CONVERSION <br />SIZE —A NONE <br />Draft Hood v Regulator <br />Fi hers Size Nurr er <br />Chimney Location I e 1' tside <br />Chimney Construction .L.L <br />Pilot Model Smoke Bomb —Wiring <br />Pilot Timing l[, > Draft Test Tag <br />L.W. Cut Off Door Pressure _ _ Lighting Inst. <br />Pressure Percent CO Date Tested <br />Input CFH Percent 02— Company Testing <br />Stack Temp. Percent CO Name of Tester _ <br />Form 235 <br />