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��'��r� �.3S�f �`�S`��/ <br /> H OU S E H E A T I N G T E ST R E CO ------.�.,., <br /> ADDRESS ��� C�h��� ��� � APT. FLOOR CITY SUBURB ����0 <br /> OCCUPANT ��� � �'�/1IF- OWNER <br /> HEAT LO55 DATE HTG. INST. tr �1 <br /> SOLD BY INSTALLED BY 1LOC�T ��- T►�F� �- �-t t�i <br /> Electrical Work By Gas Line By S4L� � <br /> TYPE OF HEAT GA FA �HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE u MAKE OF BURNER <br /> Model 7 — �� — Model <br /> $eriol d� Max. BTU Rati�g <br /> INPUT l��"'� MAKE OF FURNACE <br /> Model <br /> CONTROLS ��I <br /> THERMOSTAT ��1 Heat Plug Vent Size <br /> Valve r�Sti 7�Ov KIND OF LINE SIZE NONE�_ <br /> Limit S j L:-�'"`CU Droft Hood �Ut� ! �^ Rwa�ileTor ��iEa_TSI�l�v� <br /> Limit Setting V Filters $ize Number <br /> Fan Setting - �' �`� Chimney Location Inside � Outside <br /> Pilot Type � �� Chimney Construction L�-SS Q <br /> Pilot Make � <br /> Pilot Model �3� � $moke Bomb Wiring ���+�v 2�2`� <br /> Pilot Timing �S �' � Draft v_ Test Tay <br /> L.W. Cut Off Door Pressure Lightiny Inst. �� <br /> Prossure �t � Percent CO � Date Tested U ' � 3— v <br /> 2 <br /> Input CFH ��� �~ Percent OZ � Company Testing ���` <br /> Stack Temp. ���C Perce�t CO v�� Name of Tester <br /> Form 235 <br />