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HOUSE HEATING TEST RECORD <br /> OCCUPANT� ���� �`��� OWNERS'��ONT� CITY�QSUBURB <br /> HEAT LOSS 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. bTHER <br /> i <br /> GAS DESIGN CONVERSION <br /> MAKE � MAKEOFBURNER <br /> Model O O Modsl <br /> Ssriol Max. BTU Roting <br /> INPUT MAKE OF FURNACE � ��a� <br /> Model -. ,� <br /> j CONTROLS k ~ <br /> THERMOSTAT+�� Heat Plug Vent Sizs � <br /> Valve KIND OF L ER SIZE NONE <br /> Limit S�)�� D�O Draft Hood RegulaTor <br /> Limit S�tting � � „ Filters Size umber <br /> Fan Setting ��� Chimney Location �n i s Outside <br /> Pilot Typs ��-���N��-' Chimney Construetion - <br /> Pilot Make �� � <br /> Pilot Model — Smoke omb Wiring <br /> Pilot TiminQ � �!� Draft � '�T—d� Test Tag <br /> L.W. Cut Off Door Pressure Lighting Inst. <br /> t� o <br /> o Prsssure �� •S t�7t- Pereent C0� •' Date Tested �� � _7 <br /> ` ,1 Input CFH Peresnt OZ �•s Company Testing � �L- �- <br /> V Staek Temp. eree�t CO Name oF Tester <br /> Form 235 <br />