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HOUSE HEATING TEST RECORD J d 7�-� <br /> �;. ,.":, l ' , i ,,, :-. ,. :� J , r, <br /> ADDRESS — � f ' � APT. FLOOR CITY �SUBURB <br /> OCCUPANT ��-�,. �'� �"��,QJ"l OWNER <br /> HEAT LOSS DATE HTG. INST. — <br /> SOLD BY INSTALLED BY <br /> El�chical Work By Gos Lin• By <br /> TYPE OF HEAT GA FA �HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> _ - GAS DESIGN CONVERSION <br /> MAKE � ` f ' MAKE OF BURNER <br /> Mod�I ' )� �� <br /> A4od•I <br /> Saial - � Max. BTU Ratinp <br /> iNPUT MAKE OF FURNACE <br /> Mo d.l <br /> CONTROLS <br /> ; � � <br /> THERMOS�AT H•at Pluq _ • �— V•nt S;:• `" <br /> Volw � � KIND OF LINER SIZE � �� NONE <br /> Limit , `a Draft Hood R�yulawr <br /> '�. <br /> Limit S�Hin9 _. � Filt�rs Si:• umb�� <br /> Fan S�ttiny Chfmn�y Location I�sid� Outsid• ����- <br /> Pilof Typ� f�l � ��- Chimn�y Construction ,1a7�� t-l� <br /> Pilot Maks <br /> Pilot Modal Smok• Bomb Wirinq <br /> Pilot Timiny 0.aft ;"t \�� �t : T�st Tay <br /> L.W. Cut Off Dow Pr�saur�. Liyht{ny Inst, <br /> Pressure `, �� P�rc�nt CO — Dat� T�st�d - �C��`�� ,� <br /> 7 2 <br /> Input CFH_ �! (� P�rc�nt 0� Company T�seine C�l.l Q `>__.Et'y"1 T"� �r:� y ' � , i i <br /> Stack T�mp. P�rc�nt CO � �' Nam� of T�st�r `J <br /> Form 235 ��, <br />