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, HOUSE HEATING TEST R�CORD = =-' i`rs <br /> ADDRESS , �—�} L��� u"f - >���'� APT. FLOOR CITY SUBURB <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. �'�}�yt '�+����Et' ��I�� Ii'dC� <br /> SOLD BY INSTALLED BY �T� I1t11 i i1i; f`ilI�tWY <br /> Electrical Work By Gos Line By ;Y �,� J` . <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE �"�' � � MAKE OF BURNER <br /> Model �'�� �.�.:'�Z—L�?y �''�: Model <br /> $erial Max. BTU Ratiny <br /> INPUT ���.; ���� MAKE OF FURNACE <br /> Model <br /> CONTROLS _- �I �AR � �N � <br /> c <br /> THERMOSTAT � 4=J''� �^ Heat Plug Vent Size 7 <br /> Valve KIND OF LINER SIZE NONE <br /> ti��� `-�., <br /> Limit Draft Hood Regularor `� ���� ��'' ��`��_' <br /> ^.."f'---- <br /> Limit Setting ��a�--� ��'� l � Filtars $ize Z V x ('C' Number � <br /> Fan Setting �` J Chimney Locotion lnside� X O�ide <br /> Pilot Type . 1 '\ � _� </' ��I Chimney Construction `-•\`�-�� i <br /> Pilot Make <br /> Pilot Model $moka Bomb Wiring <br /> Pilot Timing Draft Test Tag <br /> L.W, Cut Off Door Pressure Lightiny Inst. <br /> , <br /> — -' G -L 1 <br /> Prossure `�- � Parcent CO2 -1 Date Tested � , , 1 ` <br /> Input CFH Percent OZ ? Company Testing <br /> c - <br /> Stack Temp. �X`�� Percent CO �--` Name of Tester - - <br /> Form 235 <br />