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f�' -�- �'�� 1 . <br /> ! ���� �7� � HOUSE HEATING TEST RECORD <br /> ADDRESS � ``Y 6_��-�.��CL� C ���K, �`'� APT. FLOOR CITY SUBURB �����'O <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY INSTALLED BY � ' ' <br /> Electrical Work By Gas Lins By <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION `,� <br /> MAKE � • �'� �' MAKE OF BURNER <br /> i <br /> Model l� Modsl ' <br /> Ssrial � Max. BTU Ratiny <br /> INPUT �(�1 (r�.-. MAKE OF FURNACE <br /> Model ^ _ �'�_ <br /> CONTROLS �I �OV � 2 ���� <br /> THERMOSTAT kleat Plug Vsnt Size <br /> Valve « KIND OF LINER� S�Z N NE � <br /> Limit Draft Hood _ � '{� ReyulaTor � <br /> Limit S�Hing t�C�U Lf Filters $ize Nu ber <br /> Fan Setting Chimney Location Inside� utside <br /> Pilot Type ��-' � Chimney Construction ��� � <br /> Pilot Make I L� <br /> Pilot Model Smoks Bomb Wiring <br /> Pilot Timing � 1� C- Draft �.� Test Tap <br /> L.W. Cut Off � —�— Door Pressure Liphtiny Inst. <br /> Prossuro �� � Percent CO ` Dote Tested ^ C � <br /> 2 6 , <br /> Input CFH ��"� Percent OZ Company Testing <br /> Stack Temp. ������ Perc�nt CO � �� Name of Tester <br /> Form 235 <br />