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P�z�,,-�� 3 �� o ��?� .�� <br /> HOUSE HEATING TEST RECORD <br /> A�DRESS �v� �L' C �� a� APT. FLOOR CITY SUBURB Q"�'�� <br /> OCCUPANT r OWNER <br /> HEAT LOSS DATE HTG. INST. �oi � <br /> SOLD BY INSTALLED BY �' �� ��"` � ` r <br /> Electrical Work By Gas Lins By ��,� <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE — � MAKE OF BURNER <br /> Model � � � — —' Modal <br /> Sxiol �� � Max. BTU Rating <br /> INPUT '� ` ��4A, MAKE OF FURNACE <br /> Model <br /> �� CONTROLS �� <br /> �..� <br /> THERMOSTAT � egLPlug Vent Size <br /> Valvs S ��V KIND OF UN � SIZE �, <br /> Limit ' �� �� Draft Hood U ` ( ' ` RegulaTor D �rL��� <br /> Limit $eNing � U Filters Size Nu ber <br /> Fon Setting— � � Chimney Locotion Inside Outside <br /> Pilot Type ` � Chimney Construction �� <br /> Pilot Make <br /> Pilot Model $moke Bomb Wiring � iV� ' � <br /> Pilot Timing � ���-�— D►aft Test Tap <br /> L.W. Cut Off Door Pressure Lightiny Inst. <br /> Prossure Percent COZ � L Date Tested � <br /> � <br /> Input CFH � Percent OZ Company Testing ��r � � <br /> Stack Temp. —� �/�—Percent CO —P�6 t� Name of Tester �� ��, � <br /> Form 235 <br />