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HOUSE HEATING TEST RECORD <br /> ADDRESS ��� �������' `� ` ��•_'�—APT. FLOOR CITY S:.L�'SUBURB <br /> OCNPANT �� � � 'Y OWNER <br /> HEAT LOSS DAT�HT,G. INST. _ "' <br /> SO�D BT ��,�1' �.�-li-r� ' r�� IlISTALLED BY -�1 ���►f' i�' � � <br /> EI•crricol Wwk By �'�T�-� Gos Lin� Br 1.�. �� <br /> TYPE OF HEAT GA FA �HW STEAM _--_SPACE HTR. UNIT HTR. OTMER <br /> 'r _f G 5 DESIGN CONVERSION <br /> MAKE _ �(=��'E�� MAKE OF BURNER <br /> A4od�l /�') '`fr��,� _._ IAod�l _ <br /> � <br /> s«�a� 1'►7K� t�✓x-- __ ►�Aox. 97u ttar��9 <br /> INPUT L�,,;��XX� �s �) __ MAKE OF FURNACE <br /> Mod�l _ � ` �, <br /> CONTROLS <br /> THERMOSTA H.aI�P V•nt Si:• <br /> Valv _-�--��!� ' V'� � ���- ��IND OF LINER a � SIZE�N <br /> Limit t''N` ' Drah Nood __ � R�yula�or �,�-� <br /> Limit S�niny �f�� ��- -- Filt�rs Si:• ►rumb�r <br /> Fan $�rtiny Q�imn�y Location Insi �Outsid• <br /> Pilot Typ� _ �3 �i/1. C}+imm�y Construdion ���� <br /> Pilot AAok• __. f��tZ.1�1.�i� <br /> T <br /> Pilot Mod•I __ _ Smok� Bomb _ Wirinq � <br /> Pilot Timiny _ D�aft T�st Top—�+' <br /> L.W. Cut Off —� � Dow Pr�ssw� Liyhtiny In�t. � <br /> S�'`,� � s <br /> Pnssuro �_3��"^'i�P�rcenf CO� -� Da» T.s�.d _ r� � ���� '�' <br /> Inpu� CFH_���1 P�re�nt OZ ' _ Co,�o�r Te.���. '`r-�iC; �i'F-� �+y�/,;,�' - <br /> Srock Temp. P�rc�nl CO ° � NanN oF T�st�► �+�%� - <br />