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HOUSE HEATING TEST RECORD �i�� —�2(��I <br /> ADDRESS �� `� � ti-�` � � APT. FLOO CITY SUBURB �L d��nd <br /> OCCUPANT ro � OWNER �.� N�� <br /> HEAT LOSS DA E HTG. INST. � � GAS CO. METE(�,B,(aDGE # <br /> SOLD BY S INSTALLED BY �—��� � <br /> Electrical Work By Gas Line By Z UeX�'�'� <br /> TYPE OF HEAT G�_ F��_ HW STEAM—_ SPACE HTR. UNIT HTR.�_ OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE —� MAKE OF BURNER <br /> Model Model <br /> Serial —b � -�b �' Max. �TU Rating_ <br /> INPUT 7��/`'/ MAKE Of FURNACE <br /> Model <br /> CONTROLS � �� <br /> THERMOSTA�¢�� Hept Plug • .f 1 - Vent Size <br /> Valve �--�l� KIND OF LINER SIZE���� NONE <br /> Limit ��� '� Draft Hood Regulator�/�L <br /> Limit Setting � � Filters S' e Number <br /> Fan Setting � -�� Chimney Location Inside Outside <br /> Pilot Type ��_�l� Chimney Construction <br /> Pilot Make ,� <br /> Pilot Model Smoke Bomb Wiring �9!� <br /> Pilot Timing � � �/ Draft L9 f� Test Tag�� <br /> L.W. Cut Off Door Pressure Lighting Inst. l� �', <br /> Pressure -5� S Percent CO2 �� � Date Tested �`� � � <br /> Input CFH �� Percent 02 � Company T�sting �i�r�—G�--� <br /> Stack Temp. ��' � Percent CO 1� Name of Tester �,�,�,�L c— <br />