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HOUSE HEATING TEST RECORD <br /> ` CJKC� � <br /> ADDRE55 ! ��� � ��y � � p� � �� APT. FLOOR GTY SUBURB <br /> OCCUPANT �.,.q � S w��� � ;–�j •�� OWNER� f� <br /> HEAT LOSS � � DATE HTG. INST. <br /> SOLD BY�,,��L- ,��%�'Tr� l�� INSTALLED BY ���iL <br /> Electrical Work By Gas Line By��� <br /> TYPE OF HEAT GA FA VHW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE IL�� f"'1 � �L I�C� � L MAKE OF BURNER <br /> Model /n� �/7�� Sl/�ca� Model <br /> $erial ���31L> ✓7b'-3 S Max. BTU Rating <br /> INPUT I 7��%��� ��� MAKE OF FURNACE � <br /> Model <br /> CONTROLS <br /> THERMOSTAT`�� 7� Heat Plug Vent Size 7 `` L1 �1 ��- � <br /> Valve ll N!'t14 d` KIND OF LINER SIZE NONE <br /> Limit H 41V('-`� W�LL Draft Hood ����� Regulator <br /> Limit Setting aGG° Filters $ize -���'-x 3�.—Number � <br /> Fan Settin U"'�l,U <br /> g Chimney Location Inside Outside <br /> Pilot Type `S����` Chimney Construction �1L'� <br /> PilotMake ��N��L1' <br /> Pilot Model $moke Bomb Wiring <br /> Pilot Timing � Draft �1 r� TesT Tag ���5 . <br /> L.W. Cut Off Door Pressure Lighting Inst. � <br /> Pressure � �S v Percent CO2 ' v Date Tested 7�2� � Q� <br /> InputCFH ��� G` �� Percent 02 6"�' �ft1 Company Testing <br /> Stack Temp. �7� d Percent CO r�'U "1C� Name of Tester <br /> Form 235 <br />