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���� 7 � �r <br /> ,� ��� HOUSE HEATING TEST RECORD �� � <br /> ADDRESS / ��J ��� �,`, APT. FLOOR CITY SUBURB ����4 <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. _ � //� <br /> SOLD BY r INSTALLED BY l��/� � �'' <br /> Electrieal Work By Gas Line By ���� <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GA DESIGN CONVERSI,N <br /> MAKE �" � MAKE OF BURNER <br /> Model � Model <br /> Sxiol �� Max. BTU Ratiny ! � � , <br /> INPUT ��,��- MAKE OF FURNACE <br /> Modsl <br /> �- CONTROLS �� 1 (( <br /> THERMOSTAT H at Pluy Vent Size �L <br /> Valvs �2 -�� ��� KIND OF LINER SIZE �'j�NO E � <br /> Limit � Droft Hood _ t- ' � R.��.Iaror �L �K�'�'� <br /> Limit S�tting Filters $izs Nu er <br /> Fan Setting Chimn�y Location inside i Outsids <br /> Pilot Type � Chimnsy Construdion <br /> Pilot Make 1 <br /> Pilot Modsl �—' $moks Bomb Wiring .�� ��/� <br /> Pilot Timing �� .� Draft ���— Test Tay <br /> L.W. Cut Off Door Pressurs Liyhtiny Inst. <br /> Prossure Perun!COZ � Dats T�stsd � <br /> ^*" <br /> Input CFH � Pprc�nt 02 Company Testing <br /> $tack Temp. � �l�v Perc�nt CO �Cv Nama of Test�r <br /> Form 235 <br />