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P�� ��'' 3� q� �` �a�� <br /> HOUSE HEATING TEST RECORD <br /> ADDRESS v '�� � ���� GTC GC APT. FLOOR CITY SUBURB �(��� <br /> OCCUPANT V OWNER <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY INSTALLED BY � � �%� ��"� � � <br /> Electrical Work By Gas Line By <br /> TYPE OF HEAT GA FA HW STEAM SPACE H . NIT HTR. OTHER <br /> GAS DESIGN ` },:�\ CONVERSION <br /> MAKE — �k�'�� E OF BURNE <br /> Model �- — aG ^ �--' <br /> $xial N' M �. Rating� <br /> INPUT w �'�' MAKE OF FURN CE <br /> Model <br /> � CONTROLS � � <br /> THERMOSTAT �'``'� Her� Plug Vent Size ���' � <br /> Valvs `-' KIND OF LIN�R SIZE��I�Fj��� <br /> Limit Draft Hood �t �� Regulaior �- Lf <br /> Limit SeHing � Filters Size Nurpber <br /> Fan Setting Q Chimney Location Inside���`uStJside <br /> Pilot Type r� ��k� Chimney Construction � �� � <br /> Pilor Mcke � r <br /> Pilot Model `t $moke Bomb Wiring �� � ' � <br /> Pilot Timing �� �� Draft v_ Test TaQ � <br /> L.W. Cut Off —�� Door Pressure Liyhtin Inst. <br /> Pressure ✓� ' Percent CO2 �— Date Tested �—` <br /> Input CFH �da � Percent 0� Company Testing � � � <br /> $tack Temp. ���Percent CO Name of Tester <br /> Form 235 <br />