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HOUSE HEATING tEST RECORD <br /> ADDRESS ���� ��fl�'�-`^ ���'��- �� ��F� APT- FLOOR— CITY� SUBURB <br /> OCCUPANT OWNER <br /> HEAT LOSS • DATE HTG. INST --GAS CO. METER BADGE # <br /> SOLD BY �r'on-'��''�'r+'rn� INSTALLED BY �`,`r�`���'�'nms <br /> Electrical Work By Gas Line By <br /> TYPE OF HEAT GA_ F!L— HW STEANI—_ SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE -T n QU�.. MAKE OF BURNER � ' <br /> Mode T Model ` <br /> Serial Max. BTU Rating - - <br /> INPUT MAKE OF FURNACE ��� <br /> Model <br /> CONTROLS <br /> THERMOSTAT Heat Plug Vent Size �� �v <br /> Vaive KIND OF LINER SIZF NON <br /> Limit Draft Hood Regulator <br /> Limit Setting � Filters Size Number <br /> Fan Setting Chimney Location Inside Outside <br /> Pilot Type � Chimney Construction <br /> Pilot Make <br /> Pilot Mode Smoke Bomb Wiring <br /> Pilot Timing Draft Test Tag <br /> L.W. Cut O� Door Pressure Lighting Inst <br /> Pressure ' f� Percent CO2�Date Tested <br /> Input CFH� '�� — Percent 02 Company Testing <br /> Stack Temp.� �T� Percent CO � Name of Tester <br />