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HOUSE HEATING TEST RECORD �'f,�'l`'�-� v� <br /> ADDRESS �� �` � APT. FLOOR CITY SUBURB ���� <br /> OCCUPANT � ! ¢�`- OWNER <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY L INSTALLED BY�t /L L'!��c �i«- �rs <br /> El�chical Work By �� ���. � - Gas Lin• By f <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE ��*� -�'��" MAKE OF BURNER <br /> Modei �1/fC_ S�lJ7513t�/ Modsl <br /> � <br /> Ssrial L-yG-��f5`��� S Mox. BTU Ratiny <br /> INPUT �S�/J/'/� MAKE OF FURNACE ���� <br /> Model <br /> CONTROLS j u �� <br /> THERMO�TAT �� Heat Plug —S Vent Size � <br /> Valve �� � KIND OF LINER SIZE NONE�_ <br /> Limit �� Draft Hood Rsqulator <br /> Limit S�ttiny �� Filters Size�yX�S x � Number..� <br /> Fon Settiny Chimn�y Location In/s�ide/�' 0utside <br /> Pilot Type G`f � t Chimney Construction C� `v�� <br /> Pilot Make � <br /> Pilot Model Smoks B�o b ,�� Wirinp x�y <br /> Pilot Timiny ��� S�c Draft /?Di' �" T�st Top "l, <br /> L.W. Cut Off Door Pressure Liyhtin9 Inst. � <br /> Prossurs �' � Percent C0��-- �ate Tested � — � � `� �Y - -o ----------- <br /> Input CFH 75 Percent 0 �'� Company Testing �'�c r.'. <br /> Stack T�mp. �2�� d Percent CO2 � Name of Tester � � u � <br /> Form 235 <br />