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��,����y <br /> HOUSE HEATING TEST RECORD <br /> ADDRESS �/ 2'S �"�f`�A C''L� APT. FLOOR CITY SUBURB�c��'� , <br /> OCCUPANT � �.• OWNER �� <br /> HEAT LOSS DATE HTG. INST. � <br /> SOLD BY INSTALLED BY _ � ''�� <br /> �. � �. J /� <br /> Electrical Work By �� Gas Line By <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER , <br /> GA DESIGN CONVERSION ' <br /> MAKE �C '�"►`-' � MAKE OF BURNER (Q <br /> Model ` Model <br /> $erial P � Max. BTU Rating <br /> INPUT � MAKE OF FURNACE <br /> Model " <br /> CO ROLS 3 .yC�� � <br /> THERMO T eat Plug�'—" Vent Size .7�/ ��A��—`°�"`'''r��'`���"i. �-'��• <br /> Valve ` KIND OF LIN R SIZE NONE <br /> Limit � Draft Hood Regularor <br /> Limit Setting Filters Size �� Number <br /> Fan Setting �i, Chimney Location Insids � Outside <br /> Pilot Type Chimney Construction <br /> Pilot Make � • - // <br /> Pilot Model �� ��� $moke Bomb � Wiring �/�-� <br /> Pilot Timing �v�'d • Draft �'est Tay �'A <br /> L.W. Cut Off a.�'� Door Pressure Lighting l�st.� <br /> Pressura � S 1 Percent CO2 �`� Date Tested ` <br /> Input CFH � � ' Percent OZ Company Testing <br /> $tack Temp. � Percent CO �"t" Name of Tester � <br /> Form 235 <br />