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Pb (015 1-75 0L'�I0 <br /> 03 <br /> HOUSE HEATING TEST RECORD <br /> ADDRESS �� ``Cy� "'' C �� Poop APT. FLOOR CITY SUBURB <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. <br /> 144 <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 /> / ,C GAS DESIGN CONVERSION <br /> MAKE t`r (14U`\ MAKE OF BURNER <br /> Model U F FU Model <br /> Serio) ,'�U3 a LHO Y) Max. BTU Rating <br /> INPUT �l�t � MAKE OF FURNACE <br /> Model _ <br /> CONTROLS [f� <br /> THERMOSTAT 'k'I t Plug �^ Vent Size <br /> Valve KIND OF LINER SIZE N N <br /> -Regulator <br /> ' <br /> Limit S 7� �v Drnft Hood IL 1 9IZy <br /> Limit Setting Filters Size Number <br /> Fan Setting Chimney Location Inside ` Outs'd• <br /> Pilot Type Sit n Chimney Construction ti (, t <br /> Pilot Make <br /> Pilot Model Smoke Bomb Wiring <br /> Pilot Timing SI'C Draft Test Tag <br /> L.W. Cut Off Dow Pressure j l Lighting Inst. <br /> Pressure 3' Percent CO2 Date Tested ��`� <br /> Input CFM fJ �1 Percent O2 { Company Testing 0 <br /> Stack Temp. Pocent CO 010 Nome of Tester 1 <br />