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ADDRESS -- <br />OCCUPANT _ <br />HEAT L0 <br />R& <br />USE HEATING TEST RECORD <br />APT. FLOOR <br />OWNER <br />SOLD BY mac.. Y - INSTALLED BY <br />Electrical Work By Gas Line By <br />TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER <br />MAKE <br />Model <br />Soria <br />INPU1 <br />THERMOST,� <br />Valve —� <br />Limit —� <br />Limit Setting <br />Fan Setting _ <br />Pilot Type _ <br />CONTROLS <br />.4m Heat Plug <br />MAKE OF BURNER _ <br />Model <br />Max. BTU Rating — <br />MAKE OF FURNACE <br />Model <br />11 <br />Vent Size __ 9 <br />KIND OF LINER — <br />Draft <br />Hood <br />CONVERSION <br />Regulator _ <br />SUB <br />Filters Size NIAMber <br />Chimney Location Outside <br />Chimney Construction 1 d <br />Z&-- <br />Pi lot Make <br />Pilot Model Smoke Bo b Wiring <br />Pilot TimDraft Test Tag <br />L.W. Cut Off Door Pressure Lighting Inst. <br />Pressure 17 Percent CO Date Tested — <br />Input CFH Percent 02 Company Testing <br />Stack Temp. Percent CO Name of Tester <br />NONE <br />3 <br />Form 235 <br />