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,�.�$�-�� .� ?� �� �?- �l o� <br /> HOUSE HEATING TEST RECORD <br /> ADDRESS � � , �`- 'J' APT. FLOOR CITY SUBURB �� � <br /> OCCUPANT � ' OWNER <br /> HEAT LO55 DATE H G. INST. /� <br /> SOLD BY INSTALLED BY �Ot:� E I�}T111G- '�' c Cr <br /> Electrical Work By Gas Line By ��� � <br /> TYPE OF HEAT GA FA �HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE — k MAKE OF BURNER — <br /> Model — Model <br /> $srial Max. BTU Rating <br /> INPUT �� � MAKE OF FURNACE <br /> Model <br /> CONTROLS � 1( <br /> THERMOSTAT � --7 Heat Plug �f Vent Size <br /> Volve � J / 1O� KIND OF LI ER SIZE NONE <br /> Limit ��� �� Draft Hood � � Regularor CS�T S F�'�}I` <br /> Limit Setting U Filters $ize Number <br /> Fan Setting Chimney Location Inside ��/ `�SO_u,tsid� <br /> Pilot Type �''<< Chimney Construcfion <br /> Pilot Make � J <br /> Pilot Model Smoke Bomb Wiring �� ���Qn'/ <br /> Pilot Timing � ��?� Draft �/ Test Tay <br /> L.W. Cut Off Door Pressure Lightiny Insf. �� <br /> Pressure ��� Percant CO2 � Date Tested � � <br /> Input CFH ���� Percent 02 �[�� Company Testing � �^- � <br /> $tack Temp. --- Percent CO �� Name of Tsster <br /> Form 235 <br />