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HOUSE HEATING TEST RECORD <br /> ADDRESS � �� �'��6 1�LO�� APT. FLOOR CITYQ'���SUBURB <br /> OCCUPANT OWNER ���-�'� <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY INSTALLED BY ��� � �- � .n <br /> Eleehicu) Work By Gas Line By � <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> {� ,C�- GAS DESIGN CONVERSION <br /> MAKE �jSQ�e MAKE OF BURNER <br /> Modsl C� C `Z- Model <br /> Serial Max. BTU Rating <br /> INPUT Q� n- MAKE OF FURNACE <br /> Model <br /> CONTROLS �i <br /> THERMOSTAT �� Heot Plug Vent Size � <br /> Valve W��T� ���� KIND OF LI ER SIZE NONE <br /> Limit o Droft Hood �����Regularor <br /> Limit Setting Filters Size umber <br /> Fan Setting ( 6� 11 Chimney Location �n;� Outside <br /> Pilot Type - �-�� ��' N�+ Chimney Construction V <br /> Pilot Make �� � <br /> Pilot Model �� Smoke omb Wiring <br /> Pilot Timing � �� Draft �(��s...i -O�Test Tag <br /> L.W. Cut Off M Door Pressure Lighting I�s�- <br /> Pressure ���S �� Percent CO2 y'� Dote Tested '2 <br /> G�Input CFH Peresnt OZ U '� Company Testing L <br /> 4 '�Staek Temp. � Pereent CO Name of Tester <br /> �• Form 235 <br />