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P�-wi r� � Q 3 �' ��`��� <br /> HOUSE HEATING TEST RECORD <br /> ADDRESS / / �� �M�'�-�� T�'� �� APT. FLOOR CITY SUBURB ��vu� <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY INSTALLED BY �OC r l ( <br /> Electrical Work By �/1 Ga� (i�'e By -�Q-�� � <br /> TYPE OF HEAT GA FA HW STE�i Sf+A���TR. UNIT HTR. OTHER <br /> /�/� G DESIGN CONVERSION <br /> MAKE ' "v � MAKEOFBURNER — <br /> Model U� Model <br /> $erial Max. BTU Rating <br /> INPUT �,r,�Jy� MAKE OF FURNACE <br /> Modei <br /> CONTROLS � �� <br /> THERMOSTAT eat Plug �� Vent Size <br /> Valve KIND OF LINER SIZE �NO �2 <br /> Limit - Draft Hood u L RegulaTor <br /> Limit Setting Filters $ize Num r <br /> Fan Setting Chimnsy Location Inside t Ou side <br /> Pilot Type � Chimney Construction <br /> Pilot Make � <br /> Pilot Model Smoke Bomb Wiring <br /> Pilot Timing �� Draft Test Tap <br /> L.W. Cut Off Door Pressure Lightin Ins . <br /> � <br /> Pressure l Percent COZ D Date Tested � ~ � <br /> Input CFH��Pe�cent OZ Company Testing `' <br /> Stack Temp. Percent CO Name of Testsr <br /> Form 235 <br />