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I / <br />#��� HOUSE HEATING TEST RECORD ���FT� � ��/ <br /> ADDRESS �� C�J �E.2� TA�.�E� ��` APT. FLOOR CITY SUBURB ������ <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. `� <br /> SOLD BY INSTALLED BY r ��) �L,�� <br /> Electrical Work By Gas Line By <br /> TYPE OF HEAT GA FA�_HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE � 1 MAKE OF BURNER <br /> Model �� � ` � - Model <br /> Serial Max. BTU Rating <br /> INPUT ��S` �C+G G MAKE OF FURNACE <br /> Model <br /> CONTROLS �r� <br /> THERMOSTAT�— Heat Plug Vent$ize <br /> ya�Ve � I a O l��S 2 KIND OF LINER SIZE NONE x <br /> Limit—�[T�� �, Draft Hood �(-� 1�-� � N Regularor� <br /> Limit Setting ��L�C Filters Size��X�`�X� Number <br /> Fan Setting � � rn�� Chimney Loeation Inside x Outside <br /> Pilot Type � PAR��� ��-tni � (7 N Chimney Construction�� � C1..A�S � <br /> Pilot Make <br /> Pilot Model Smoke Bomb -' Wiring � <br /> Pilot Timing Draft �,x- Test Tag V <br /> L.W. Cut Off Door Pressure ' Lightiny Inat� <br /> �i <br /> Prossure ��- Percent CO2 ' Date TesTed �d -�-L�/=' ,,,� <br /> Input CFH �$� ��� Pereent 02 • Company Tes*�.+� �GT J'���1�C-� <br /> Stack Temp. 3�n Perce�t CO � '� Name of Tester �� m �- <br /> Form 235 <br />