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�.s-� �2Y°;°��_��'�'��;������:;r, _ . <br /> t <br /> l�F HOUSE HEATING TEST RECORD <br /> �'' � �� APT. FLOOR CITY SUBURB <br /> ADDRESS .�,. �GZ <br /> OCCUPANT OWNER <br /> HEAT LO55 DATE HTG. INST. <br /> SOLD BY INSTALLED BY <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 MAKE OF BURNER <br /> Model ;...k ` —— Model <br /> $e►ial �/�T�� Max. BTU Rating __ <br /> INPUT MAKE OF FURNACE <br /> Model ^ „`" <br /> CONTROLS <br /> THERMOSTAT Heat Plug Vent Size - <br /> yo�Ve � 'i� KIND OF LINER =��' SIZE_.�_NONE <br /> Limit Draft Hood Regularor _ � - <br /> Limit SeHing Filters Size ' Number <br /> Fan Setting Chimney Location Inside �-- Outside <br /> Pilot Type �'i'' Chimney Construction �.;%` <br /> Pilot Make � <br /> Pilot Model :{�� Smoke Bomb Wiring ` <br /> Pilot Timing Draft Test Tag �"� <br /> L.W. Cut Off ff' ' - Door Prossure � Lighting Inst. �''� <br /> Prossure Percent CO2 Date Tested � <br /> Input CFH Percent 02 Company Testing � <br /> Stack Temp. Percent CO Name of Tester <br /> Form 235 <br />