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HOUSE HEATING TEST RECORD <br /> ADDRESS �� � APT. FLOOR CITY SUBURB_1J_'�� <br /> OCCUPANT •� � OWNER <br /> HEAT LOSS DATE G. INST. <br /> SOLD BY INSTALLED BY <br /> Electrical Work'By Gas Lins By <br /> TYPE OF HEAT GA FA ��HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> '%� GAS D IGN CONVERSION <br /> MAKE �� MAKE OF BURNER <br /> Model /� �j A Model <br /> Serial ,�/ -y �� �`-7� �-3n Max. BTU Rating <br /> INPUT ,f� �C�� � MAKE OF FURNACE <br /> Model <br /> �� ��C� ONTROLS , /� �� � <br /> THERMOSTAT "�[�t'*�L Heat Plug �— Vent Size _ � <br /> Valve ,�L� � KIND OF LINER SIZE NONE <br /> Limit �� �% Droft Hood Regulator <br /> Limit SeHing ��� Fi Iters Size �U�'1 �Number �� tc/ <br /> Fan Setting Chimney Location Inside Outside <br /> � <br /> Pilot Type � G� Chimney Construction ,��(f��.-a <br /> Pilot Make <br /> Pilot Model Smoke Bomb Wiring <br /> Pilot Timing Draft �'C�J�-C�2.� Test Tay � <br /> L.W. Cut Off Door Pressure Lightiny Inst. �" <br /> Proswro � l' Percent CO2 �� Date Tested ' <br /> Input CFH Percent OZ Company Testing <br /> '$tuck Temp. �,�_Percent CO Name of Tester CU <br /> Form 235 <br />