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ADDRESS L s V-..) <br />OCCUPANT <br />HEAT LOSS <br />SOLD BY <br />Electrical Work By <br />TYPE OF HEAT GA <br />THERMOSTA <br />Valve <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 />40 <br />Pressure �.. <br />Input CFH — <br />Stock Temp. . <br />Form 235 <br />HTG..INS <br />CONTROLS <br />— Heat Plug <br />Percent CO2 — <br />Percent 0 <br />2— <br />Percent CO <br />H US -HE TING TEST RECORD <br />—APT. F CITY SUBURB <br />OWNER <br />INSTALLED BY <br />Gas Line By <br />STEAM --SPACE HTR. _ UNIT HTR. OTHER <br />CONVERSION <br />MAKE OF BURNER <br />Model <br />Max. BTU Rating <br />MAKE OF FURNACE <br />Model <br />Vent Size <br />7 / <br />KIND OF LINER <br />Draft Hood <br />Fi Iters Size — <br />Chimney Location <br />Chimney Construction <br />Smoke Bomb <br />Draft . CT�_ <br />Door Pressure <br />Date Tested <br />Company Testing —.o,, <br />Name of Tester <br />Regularor <br />—Number <br />Wiring <br />.Test Tag <br />Lighting Inst. <br />