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n',� <br /> HOUSE HEATING TEST RECORD <br /> 40 s3 q7 <br /> �� p 'I <br /> ADDRESS APT. FLOOR CITY SUBURB <br /> OCCUPANT r. 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 /> MAKE � <br /> GAS�ESIGN CONVERSION <br /> LC, 0 v MAKE OF BURNER <br /> Model 6J'-2-fvrt C 310,1 Model <br /> Serial g ` l t9 Max. BTU Rating <br /> INPUT 60`067C7 MAKE OF FURNACE <br /> Model <br /> NTROLS <br /> THERMOSTA Heat Plug Vent Size <br /> Valve Uk KIND OF LINER SIZE NONE <br /> Limit ll Draft Hood Regulator <br /> Limit Setting I(O° Filters Size —Number <br /> A <br /> Fan Setting f 00 Chimney Location Inside Outside <br /> Pilot Type Chimney Construction <br /> Pilot Make <br /> Pilot Model Smoke Bomb Wiring <br /> Pilot Timing Draft Test Tag <br /> L.W. Cut Off Door Pressure Lighting Inst. <br /> Pressure 3-s Percent CO2 9',,51, Dote Tested (Cit'S <br /> Input CFH 6o Percent O2 7' Company Testing <br /> Q _ 80.04.401"` <br /> Stack Temp. _r Percent CO Name of Tester r <br />