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HOUSE HEATING TEST RECORD .� <br /> ADDRESS, � � 1 O•� ►� (� .��`'� APT. FLOOR CITY SUBUR�����-`��_ <br /> OCCUPANT l.E. ' OWNER <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. OTHER <br /> GAS DESIGN CONVERSION <br /> MODEL � ��/� � V�r �'I�l�� MODE OF BURNER <br /> SERIAL `;C°� n �:1 '��P? MAX. BTU RATING <br /> INPUT MAKE OF FURNACE <br /> MODEL <br /> CONTROLS <br /> THERMOSTAT,��� HEAT PLUG VENT SIZE � J L <br /> VALVE�'v�jeJ+ ShJ>�✓ KIND OF LINER SIZE NONE <br /> LIMIT C` fl,�/'v" i�if� DRAFT HOOD REGULATOR <br /> LIMIT SETTING 2d� FILTERS SIZE NUMBER <br /> FAN SETTING tY�n�Ja CHIMNEY LOCATION INSIDE��ZS �OUTSIDE I ^ <br /> PILOT TYPE S � CHIMNEY CONSTRUCTION <br /> PILOT MAKE <br /> PILOT MODEL SMOKE BOMB WIRING <br /> PILOT TIMING DRAFT TEST TAG <br /> L.W. CUT OFF DOOR PRESSURE `�'�'�MO ���� 3�:. <br /> C( ��ib�a �C:z_D�f�! 1�'i"�$E_E'7' i�-i i ia � kli-� <br /> PRESSURE 3 '�Jr"' � '`� PERCENT CO2 U DATE TESTED - ; �^, - r r?�^ r <br /> INPUT CFH l� PERCENT 02 Co COMPANY TESTING � � � ' <br /> - , : � ,� <br /> STACK TEMP. �� � PERCENT CO U NAME OF TESTER _ ; = <br /> FORM 235 �� u <br />