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�..� � •• , .;��'-..^"�a�. —��': <br /> 1 `.- w"`..� .f <br /> HOUSE HEATING TEST RECORD ��� <br /> ADDRESS �- APT. FLOOR CITY SUBURB <br /> OCCUPA�lT OWNER <br /> HEAT LOSS_�_DATE HTG. INST. <br /> SOLD BY INSTALLED BY <br /> Electricol Work By Gas Lins By ;*.;i^'� <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE MAKEOFBURNER <br /> Mod•I Modsl <br /> Seriol Max. BTU Rating _ <br /> INPUT MAKE OF FURNACE <br /> Model <br /> CONTROLS <br /> THERMOSTAT Heat Pluq Vent Si:e <br /> Volve KIND OF LINER SIZE NONE <br /> Limit Draft Hood Repulator <br /> Limit $ettiny Filters Size Number <br /> Fon Setting Chimney Location Inside Outside <br /> Pilot Type Chimney Construcfion <br /> Pilot Make <br /> Pilot Model Smoke Bomb M�i►in9 <br /> Pilot Timing Draft _ _.--_ Test Tap <br /> L.W. Cut Off Door P�essu�e. Lighting Inst. <br /> Pressure F Percent C0� Dote Tested <br /> Input CFH— Peresnt 0� Company Testing -- <br /> Stock Temp. Percent CO Name oF Tester <br /> Form 235 <br /> _. ,. . . ., _,, . ..„ ..;;,� <br />