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HOUSE HEATING TEST RECORD <br />ADDRESS ` c = �- 1 . U� APT. FLOOR <br />OCCUPANT OWNER �!�• • /' <br />HEAT LOSS DATE TO, INS <br />T/ <br />SOLD BY - INSTALLED BY <br />Electrical work By Gas Line By <br />TYPE OF HEAT GA FA -HM STEAM . SPACE HTR. <br />TY Susulea 01, t7y; ti <br />!i (G r <br />of <br />Ze <br />UNIT HTR. 0T4ER <br />GAS DESIGN <br />CONVERSION <br />MAKE <br />MAKE OF BURNER <br />ff <br />Morel <br />Serial <br />Max. BTU Rating <br />INPUT <br />MAKE OF FURNACE <br />#v <br />CONTROLS <br />THERMOSTAT Meat PIw <br />Model <br />Vent Size <br />Valve 4 ' �� - <br />KIND OF LINgR ��' <br />%' -� �' <br />SI E _ - NOM <br />Limit ��—r � ' -C �� - <br />Draft Hoer -9 � � <br />� �? <br />Re�latei <br />Limit Setting 7 i' � <br />Filters Size <br />Fen Setting _' �a <br />Chi eney Location <br />(wide <br />L' Outside <br />Pilot Typo <br />Chimney Construction <br />1 `� <br />Pilot Maly <br />Pilot Model <br />SWA" Bomb <br />Miring <br />Piles Timing �� � ' � <br />Draft <br />,o 't- <br />Test Tag L ., <br />L.W. Cat Off <br />Doer Pressure <br />Ligh" last., <br />Pressure Percent CO2 —7 <br />Date Tested <br />Input CFH Percent O <br />2 <br />Csaipany Testiwg �� <br />�`� <br />4- 14 I <br />Steak To". ' Percent CO <br />Moue of Tester <br />-Iy � <br />Fem 235 <br />