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/ v W I v" <br /> HOUSE HEATING tEST RECORD <br /> ADDIRES �'�"� � � � °�� PT- FLOOR— CITY SUBURB <br /> OCCUPANT ` OWNER <br /> HEAT LOS � ' DATE HTG. INST �/'��'87 GAS CO. METER BADGE # <br /> SOLD BY INSTALLED BY <br /> Electrical Work By Gas Line By <br /> TYPE OF HEAT G F�— HW STEAM— SPACE HTR. NIT HTR. OTHER <br /> GAS DESIGN CONVERS � �� � !��1��= I' - <br /> MAKE MAKE OF BURNE ���---�"" � <br /> Mode � 1 Model <br /> �r�a� Max. BTU Rating d �'' <br /> INPUT �� �� MAKE OF FURNACE '' <br /> 'O Model ° <br /> ��� CONTROLS `' <br /> THERMOST � � Heat Plug � � Vent Size �� �� s � <br /> Volve '�--�+� KIND OF LINER �--� SIZ�---�—�NON <br /> Limit Draft Hood—r RegulatQ� �""�- - ��---"' <br /> limit SA++�na � Filters Size� � ��r►+beP <br /> Fan Setting �- Chimney Location Inside "" Oufside <br /> Pilot Type Chimney Construction "�' <br /> Pilot Mak <br /> Pilot Mode � Smoke Bomb —Wiring � � <br /> Pilot Timing Draft Test Tag � <br /> L.W. Cut Off Door Pressure '� Lighting Inst � <br /> �� � Date Tested <br /> Pressure � � Percent CO2 <br /> Input CFH � Pereent 02�Company Testing <br /> Stack Temp —��''e `' Percent CO —v—Name of Tester . <br />