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--; �� � <br /> �� <br /> HOUSE HEATING TEST RECORD <br /> ADDRESS � ����� \� �— APT. FLOOR CITY SUBURB <br /> OCCUPANT � ���' C�nS � � 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. UN17 HTR. OTHER <br /> GAS DESI N CONVERSION <br /> MAKE � ��"'` MAKE OF BURNER <br /> Model �JG �� Model <br /> Serial Max. BTU Rotiny <br /> INPUT ����,� MAKE OF FURNACE <br /> Model <br /> ` �ONTROLS ��I <br /> THERMOSTAT \ Heat Plug Vent Size <br /> Valve KIND OF LINER SIZE NONE <br /> Limit '�'�^� Droft Hood _ Regularor <br /> Limit Sstting ���-+�� J�� Filters $i:e � Number � <br /> Fan Setting ` � �' Chimney Location Insids � Outsi�2 <br /> Pilot Type `-�� � Chimney Construction S� � � <br /> Pilot Make <br /> Pilot Model Smoke Bomb Mliring <br /> Pilot Timing Draft Test Tag <br /> L.W. Cut Off Door Pressure Lighting Inst. <br /> � �� `���-`� <br /> Prossure��'� Percent CO2 � Date Tested � <br /> �'ff�tH�. �r� .,'.�_ <br /> Input CFH ��v- Percent OZ Company Testing J J <br /> $tack Temp. �-���� Percent CO � Name oF Tester �`C�– '' " <br /> Form �3s MAPLE GF�JV�., �:f��� `:':;';y:.:� <br />