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�. ���,�� n.�-�-,-� �Y��� � S"� l�3 <br /> OUSE HEATING TEST RECORD <br /> �ADDRESS �`S� C� �(��C � l� � �U�t.�j <br /> APT. FLOOR CITY SUBURB <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY IN57ALLED BY ��� �� � ` � - <br /> El�ctrical Work By Gas Lin• By S���t'— — <br /> TYPE OF HEAT GA FA��HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE � MAKE OF BURNER <br /> Mod.l - ti � .�C� ) Mod•I <br /> S�ricl � Max. BTU Rotinq <br /> INPUT �� • ��v MAKE OF FURNACE <br /> Mod.l _ <br /> �/— CONTROLS � w <br /> THERMOSTAT ` H•ot PIu9 �--` V•�t Si:•_ <br /> Volv• ��� � 4' �'- �3 KIND OF LINER SIZE �N <br /> Limit S 7t'� �'� Droit Hood � ''��- R���leror �� � �`s+(k'�� <br /> Limit S�ttinq �T Filt�rs Si:• ►'�umb�� <br /> Fan S�ttinq ^ y Qimn�r Location In�id� � Oufsid� <br /> Pilot Typ� JN '��< <`�� almn.r Consrruction +�t` ��� <br /> P�io� ,�k. � r�� ►.+li,rC L� <br /> Pilot Mod�l � � Smok� Bomb Wlrinq <br /> Pilot Timiny � =S� Droft T�st Tap <br /> L.W. Cut Off � Dow Pr�ssw� Liyhtiny (nst. <br /> Pr�ssur��L�, P�rc�nt CO2 �` S Dot� T•.�•d '- �r <br /> Input CFH� �� P�re�nt 02 lc� Compony T�atiny � '- ! c <br /> 1 <br /> Srock T�mp. �� P�rc�nt CO Q��' Non�of T�ar�� � '� <br />