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� ��,�1 HOUSE HEATING TEST RECORD r �R'M�� y��g �/ <br /> ADDRESS � ``� ���� �O� �� APT. FLOOR�CITY SUBURB���`�n � �% . <br /> OCCUPANT OWNER a C j-(l:_.�� <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY INSTALLED BY �c�C��,' �C--1�"4"1 N (;., <br /> Electrieal Work By Gas Lins By <br /> TYPE OF HEAT GA FA�_HW STEAM SPACE HTR. UNIT HTR. 0 1� �„�a+ <br /> GAS DESIGN CONVER51 ���Q�� <br /> MAKE MAKE OF BURNER <br /> Model �v `• �� Model <br /> Sxiol U r ~ Max. BTU Rating <br /> INPUT �O G Ci MAKE OF FURNACE <br /> Model 11 1 t i n '1 Qo`� <br /> —�-�� -� CONTROLS l�� <br /> THERMOSTAT J i�J__ Heat Plug Vent Size �1 <br /> Valve ��('��O �t.1'� KIND OF L ER SIZE�_NONE� <br /> Limit ' ,��rt� 1 �� <br /> Draft Hood ���� !�.t�1 RsgulaTor�� <br /> Limit SeNing ����� Filters Size � �� � C- � Number � <br /> Fan Setting � � , Chimney Loeation Inside �s,� Outside <br /> 1' �J�1 A� <br /> Pilot Type 1�Q�' �L� 2�A C;i�s ��f`.� � L, N Chimney Construefion ����. <br /> Pilot Make <br /> Pilot Model Smoke omb J Wiring �1 <br /> Pilot Timing Draft ��ATr�� �A tJ Test Ta �� <br /> 9 <br /> L.W. Cut Off Door Pressure — Lightiny InsT V <br /> '� /.� l i <br /> Pressure ����� Percent COZ �� 4' Date Tested �` - -- <br /> Input CFH i Percent OZ � �� Company Test��� Cj V", ��;�:'�'G fV t,. <br /> Stack Temp. �' Percent CO � �� Name of Tester �� 't � T• <br /> Form 235 <br />