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: <br /> � �_5�%C;� ei'z��-� � �-/_s..� ._. <br /> ___.__ <br /> „ C �IOUSE HEATING TEST REC RD <br /> ADDRESS ���� ��'"^ v `! APT. FLOOR CITY SUBURB ��v� <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. ���–`�"'� �—� / <br /> SOLD BY INSTALLED BY <br /> Electrical Work By Gas Line By � <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> AS D�,SIGN CONVERSI N � ,� �_„�� <br /> �v�v <br /> MAKE � � � MAKE OF BURNER — <br /> Model Modsl <br /> Serial Max. BTU Ratiny � <br /> INPUT � �- MAKE OF FURNACE <br /> Model <br /> CONTROLS �I <br /> THERMOSTAT � �,.,�ieat Plug ��� Vent Size ' <br /> Valve KIND OF LINER SIZ <br /> i <br /> Limit � � Draft Hood i� Reyulator <br /> Limit Setting � Filters $ize N b�r <br /> Fan Setting Chimnsy Location Inside utside <br /> Pilot Typs �� Chimney Co�struction <br /> Pilot Make �� O� /�� c� <br /> Pilot Model Smoke Bomb�j Wiring <br /> n.i� / <br /> Pilot Timing � Draft �/ Test Tay <br /> L.W. Cut Off Door Pressure Liyhtin ��■+- <br /> Pressure f � P�rcent COZ ^ Date Testsd 1 � � <br /> Input CFH � Percent 0 Company Testing <br /> 2 �+, <br /> Stack Temp. v Percent CO U-(I� Nome of Tsster <br /> Form 235 <br />