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P��►-r�* 3�'� o �a�q;� � <br /> HOUSE HEATING TEST RECORD <br /> ADDRESS �-� p I�-� � APT. FLOOR CITY SUBURB ���� <br /> OCCUPANT � OWNER <br /> HEAT LOSS DATE HTG. INST. ` ` <br /> SOLD BY INSTALLED BY `�� r �L`� ' � <br /> Electrical Work By Gas Lins By :�� � �- <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> I GAS DESIGN CONVERSION <br /> MAKE — ^ �l� MAKE OF BURNER <br /> Model � — � — Modei <br /> $sriol � � Max. BTU Ratiny <br /> INPUT �z-�� MAKE OF FURNACE <br /> Model <br /> � CONTROLS � '� <br /> THERMOSTAT F� He�t Plug Vent Size <br /> Valve � KIND OF LIN R SIZE ON <br /> Limit Draft Hood ��i:LL � h R.��,letor � <br /> Limit S�tting L'� Filters $ize Nu ber <br /> Fan Setting � Chimney Location Insids t� Outside <br /> Pilot Typs � Chimney Const►uction—� �� <br /> Pilot Moke /J <br /> Pilot Model � Smoke Bomb M�iring � "U`�- � <br /> Pilot Timing ��1 �� Draft �_ Test Tay <br /> L.W. Cut Off "�-- Door Pressure Lightin.y Inst. �/ <br /> Prossure �� `' Percent CO2 f l � Date Tested � U— L/•� -- � <br /> Inpuf CFH ��� Percent 02��� Company Testing � � � � <br /> Stack Temp. —�g�z ��Percent CO ���. Name of Tester <br /> Form 235 <br />