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� � � I HOUSE HEATING TEST RECORD �VN�'—C �' �?6� <br /> ADDRESS �-- � � � I'�, t-�.l.�I_��� t�i APT. FLOOR CITY SUBURB ��-� �� <br /> OCCUPANT / OWNER <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY INSTALLED BY �l�C�1 �-,��� N C� <br /> Electrical Work By Gas Line By <br /> TYPE OF HEAT GA FA�HW STEAM SPACE HTR. _UNIT HTR. OTHER <br /> GAS DESIGN CONV N � <br /> MAKE L���rs ox MAKE OF BURNER <br /> Model � �<Q-�-� Model <br /> Serial ��Q�' _� Max. BTU Rating <br /> INPUT �� � �.7� <br /> MAKE OF FURNACE _ � <br /> Model <br /> � CONTROLS �� -��g� 2 '1 '�Q` <br /> THERMOSTAT� Heat Plug Vent Size �`�, <br /> Valve ��I i'`i � ��J>> KIND OF LINER $IZE NONE � <br /> Limit �,1�Tt7 � � � Droft Hood � M Regulator ��� <br /> Limit $etting e Filters Size �d t � <br /> �� � Number <br /> Fan Setting Chimney Location �jside x Outside <br /> Pilot Type � Chimney Consfruction / �/ L-f---�Y`����? <br /> Pilot Make <br /> Pilot Model $moke Bomb � Wiring � <br /> Pilot Timing Draft �/ K Test Tay � <br /> L.W. Cut Off Door Pressure Lightiny Inst.� <br /> �p s� �. �(�_ � �6 �.'� ! <br /> Prossure � � Cl Percent COZ�X � Date Tested <br /> Irrpuf CFH �• ��' Percent 02 `,� Company Testing � � �T 1 �`f �� �� <br /> Stack Temp. ' � � Perce�t CO a Q Name oi Tester �T � /� �- <br /> Form 235 <br />