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�r�,-,- �) :.��v #5776' <br /> HOUSE HEATING TEST RECORD <br /> ADDRESS �a ��'�kC�" C�rF l �O Iv APT. FLOOR CiTY SUBURB d� <br /> OCCUPANT � �^-� � OWNER <br /> HEAT LOSS DATE HTG. INST. /� <br /> SOLD BY INSTALLED BY ��C—T � ��T1ktr- �}` � � <br /> Electrical Work By Gas Line By S �w � <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. �OTHER <br /> — `� <br /> ,�/ GAS DESIGN CONVERSION <br /> MAKE — Ln��� �K F' MAKE OF BURNER <br /> Model t' �- 5� Model - � <br /> Ssriol ,,30 b � '�C� jpl� O Max. BTU Rating <br /> INPUT SU� MAKE OF FURNACE <br /> Modal -'`' <br /> CONTROLS �U �`r. � .�� <br /> THERMOSTAT ��'p�` � Heat Plug Vsnt Size N V <br /> Valve V�4*��� KIND OF LINER SIZE N NE� <br /> Limit ���XC)� Draft Hood V<<. l � Rea.,leror ��' <br /> Limit Setting � � Filters Size Number <br /> Fan Setting �-` �"F= �F � Chimney Location Inside � Outside� <br /> Pilot Type E'n1l � Chimney Construction ��� Cr1�S,) 1) <br /> Pilot Make k}� �� <br /> Pilot Model r Smoke Bomb Wi►ing ���U'��� <br /> Pilot Timing � `� �� D►aft � Test Tay <br /> L.W. Cut Off Door Pressure Lightiny Inat. �� <br /> Prossure—���—Percent CO2 � 2— Date Tssted /'o - a�- _�o <br /> InputCFH ��>>''^ Percent OZ Company Test�.,� S� f-F}TtL.� <br /> Stock Temp. Percent CO ��U Nome of Tester ��l-�t-T� <br /> Form 235 <br />