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HOUSE HEATING TEST RECORD <br /> ADDRESS ��,7'�.2J Li 6jt��J��!'�7'I.� APT. FLOOR CITY ^ ' � �SUBURB <br /> OCCUPANT '-'�" OWNER �—' <br /> HEAT LOSS�_DATE HTG. INST. ��� <br /> SOLD BY _1�11'�..J� 1-� T-�a- INSTALLED BY, LCC�L'� f-IZ, . <br /> Electrical Work By �j"�"j-}�}(G��'� Gas Line By �L6s,1��7=� � <br /> TYPE OF HEAT GA FA �HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS OESIGN CONVERSION <br /> MAKE �^L-_`'�'��'�� , ' MAKE OF BURNER <br /> Modsl ����.�����% Model <br /> � � L � Max. BTU Rating <br /> $eria l � d ' <br /> INPUT '>�,���'�`����� L _ ��� MAKE OF FURNACE <br /> Model _ � <br /> �{�►,h;."`�'t+�°-��-�ONTROLS ,. �, <br /> THERMOSTAT_ ` <br /> ( I J�� Heat Plug _ � Vent Size _� <br /> Valve (��57L/��(.C��-�LL KIND OF LINER SIZE NONE�_ <br /> Limit ���[�� , � Drah Hood ln��i"`',:- Regularor ��1�,Y/T��Y? "_.'�.�_�'_"� <br /> Limit Settinq ��� �'" Filters $ize `> � � _Numbs� � <br /> Fan Se►ting ��T�Z�����`T Chimney Location Insjde �Outside _ <br /> Pilot Type ��fyLr= C� Chimney Construction «t ��� <br /> Pilot Make S��'�'`LILa/��' _ <br /> � y r'� <br /> Pilot Model _ $moke Bomb _ �t� Wirin <br /> Pilot Timing �SC�["(�7L��S Draft _���.-�C�C.�J Test Tag �� �"• .��� <br /> L.W. Cut Off �� Door Pressure <br /> �� ��, Lighting Inst. <br /> Pressuro ��•� `� G Percent COz C Date Tested ��/�� <br /> Input CFH �� Percent 0� � � Company Testing � <br /> $tock Temp. Patrcent CO r Name of Tester <br /> Fcrm 235 <br />