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HOUSE HEATING TEST RECORD <br /> ADDRESS y� ��` APT. FLOOR CITY SUBURB L17"f"" <br /> OCCUPANT l lk cr eXk OWNER <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY c INSTALLED BY <br /> Electrical Work By 4/a,4z-,-. Gas Line By <br /> TYPE OF HEAT GA FA_ HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSI c [! <br /> «�� <br /> MAKE /� -5 MAKE OF BURNER <br /> '4� <br /> Model Model <br /> Serial L �� �G�� Max. BTU Rating A <br /> INPUT �S�a�� MAKE OF FURNACE _ t%r' olaoNO <br /> Model GUN <br /> CONTROLS <br /> THERMOSTAT / Heat Plug 5 Vent Size S <br /> Volvo �f � KIND OF LINER SIZE NONE <br /> Limit �-�c/ Draft Hood Regulator <br /> Limit Setting y� Filters Size Number <br /> Fan Setting �UG Chimney Location Inside ✓ Outside <br /> Pilot Type Chimney Construction <br /> Pilot Make <br /> Pilot Model j6liu7lJn �- Smoke Bomb Wiring ,r <br /> Pilot Timing `' - Draft 6" Test Tag x <br /> L.W. Cut Off Door Pressure Lighting Inst. <br /> 3 S Percent CO2 Date Tested <br /> Pressure - <br /> Input CFH A_U Percent 02 Company Testing <br /> Stack Temp. Zly Percent CO Name of Tester <br /> Form 235 <br />