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- <br /> a2� � �I Z�,1 <br /> HOUSE HEATING TEST RECORD <br /> ADDRESS �� '� � �'J ti-- APT. FLOO 1 CIT�( SUBURB �'� d r0►'lU <br /> OCCUPANT a � OWNER Iv(J�. LtJ71� <br /> �HEAT LOSS � DATE H . INST. s��}I�54� GAS CO. METER B DGE <br /> SOLD BY � �"�-� �—INSTALLED BY <br /> Electrical Work By Gas Line By _�-� v U(�� <br /> TYPE OF HEAT GA_ A� HW STEAIv�— SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE �-���/o� MAKE OF BURNER <br /> Model � �� �� � 4 v Model__ <br /> Serial �s��-�i`� (' Z:� � � _Max. BTU ?aiing <br /> INPUT (a v f''i MAKE OF FURNACE <br /> Model <br /> CONTROLS <br /> THERMOSTA Heat Plug '� Vent Size � L� 4 � � � ' <br /> Valve ' — KIND OF LINER SIZE ,NONE <br /> Limit Draft Hood �'�-- Regulator �r--��G��— <br /> Limit Setting '� � Filters Size ./(• X � x y Number � <br /> Fan Setting i l— -c �-� � Chimney Location Inside Outside <br /> Pilot Type ���-�-L Chimney Construction <br /> Pilot Make <br /> Pilot Model Smoke Bomb Wiring d� <br /> Pilot Timinp ��---- %�2 �-<�Y draft Test Tag � <br /> L.W. Cut Off Door Pressure Lighting Inst_ ��� <br /> Pressure • `1 � Percent CO2 �TDate Tested -r�y� "�� <br /> Input CFH L9 v � Percent 02 -�''� Company Testing � � <br /> Stack Temp. ��L9 y Percent CO �—Name of Tester ��,�'L- - <br />