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�'�'� ""`� � �p.�?� �`���-� <br /> OUSE HE TING TE��RECORD � <br /> ADDRESS /��� �"'��� ��'—+�2� � APT. F�OOR CITY SUBURB O��v <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. d� / <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 /> s! �AS DESIGN CONVE N <br /> MAKE — �v� MAKE OF BURNER <br /> Model U � 0 Model <br /> $erial Max. BTU Rating <br /> INPUT � � MAKE OF FURNACE � '' ' " <br /> Model <br /> CONTROLS � I <br /> THERMOSTAT Heat Plug �� Vent Size <br /> Valve KIND OF LINER SIZ N E <br /> Limit Draft Hood � RegulaTor ` � <br /> Limit Setting Filters Size N ber <br /> Fan Setting Chimney Location Inside Outside <br /> Pilot Type � Chimney Construction <br /> Pilot Make � <br /> Pilot Model �C Smoke Bomb � j�Wiring <br /> Pilot Timing � J�� Draft �/ Test Tag <br /> L.W. Cut Off Door Pressure Lightin Inst. <br /> Pressure l PercentCO2 `�O Date Tested O^ <br /> Input CFH-T � Perce�t OZ Company Testing � <br /> $tack Temp. v Percent CO Name of Tester <br /> Form 235 <br />