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.r • - <br /> . - <br /> � HCJUSE HEATING TEST RECORD • <br /> .+��- �=�� �I �t � , <br /> ADDRESS .=�'�`� i � k����^ �-f�c�G"�V ��= APT. FLOOR CI�Y `�" SUBURB <br /> OCCUPANT OWNER �� _ .f'y �c t , �'. ,• <br /> HEAT LOSS DATE HTG. INST. �- r' � �'� <br /> SOLD BY ' � � <br /> "' INSTALLED BY f`�4�-�� ` ;"+'�.����;�'r:� +� <br /> El�ctrical Work BY - ` �„ �" Gas Lin• By <br /> TYPE OF HEAT GA FA '� HW STEAM SPACE HTR. __UNIT HTR. OTHER <br /> . a <br /> GAS DESIGN CONVERSION <br /> MAKE k��"" {r' MAKE OF BURNER <br /> Mod�l 1'V�7C ;C� 7� ���1 Model � , <br /> SKial L. 9G�)'', ?;�% Mox. BTU Rat�oo . <br /> INPUT ?5, ✓G�' MAKE OF FURNACE _ ;' � <br /> Model ' <br /> CONTROLS <br /> THERMOSTAT ' �? � <br /> Heat Pluy V�nt Sizs <br /> Valvs KIND OF LINER ��r� ` k' SIZE r' NONE <br /> Limif r'� Draft Hood Reyularor <br /> , � , <br /> Limit S�ttiny Filt�rs Si:s,`�''%=f 5�?'% Number � <br /> Fan $wftiny �_- .— _ Chimm�y Location � Insida_� O�tsids <br /> Pilot Type Chimnsy Construction F' ���t'f � <br /> Pilot Make ` �'� ��r <br /> Pilot Model �'-- $moks Bomb Wiring <br /> Pilot Timiny Draft _Test Tag <br /> L.W. Cut OfF Door Pressurs Lightiny Inst. '� <br /> P►essura 3 '� P�rc�nt CO ��,� Date T�sted �>"�7"y�o <br /> Input CFH 7Sr(J�'{, Perc�nt 02 lG �° Company Testing � f /'6'r �+6�," �s 1 <br /> $tack Temp. �'�* ` P�rc�nt CO �''� Name of Test�r �%•'+ ��j ��'" <br /> Form 235 <br />