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HOUSE H EATING TEST RECORD ���G� � `O�` ��3 <br /> � ^ / ., <br /> ADDRESS � �/� r�C� `-��� APT. FLOOR CITY SUBURB O�k� <br /> OCC�PANT OWNER <br /> . 11EA�LOSS DATE HTG. INST. <br /> SOLD BY INSTALLED BY ��C `� � ` <br /> El�ctricol Work By Gos Lin• By �`�u'�� <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. �z�UNIT HTR. OTHER <br /> j GAS DESIGN CONVERSION <br /> MAKE �`- n�N� MAKE OF BURNER <br /> Mod•I L- � �� ' Mod•I <br /> S�riol �3 � ? Max. BTU Rotinq <br /> INPUT ����� MAKE OF FURNACE <br /> Mod•I _ <br /> -�f�/�/ CONTROLS �ll <br /> THERMOSTAT �o �� H. t Pluy �^ V.nt 5i:•_ <br /> Volv �Q �ad� KIND OF LINER SIZE 0�� <br /> Limit S�h�CV Draft Hood ��r� R.�.,laro�� <br /> Limit S�niny Filt�rs Si:� Numb�r <br /> Fan S�ttin � � C3�imn� Location Insid��0utsi <br /> Pilot Typ� ^ 7 t`�� Q�imn�r Construetion � � �S-� � <br /> �— � <br /> Pilot Mok• <br /> Pilo� Mod�l � � `�� �U� Smok� Bomb Wlrinq <br /> Pilot 7imioy � S�C Draft T�st Taq � <br /> L.W. Cur Off Dow Pr•ssw. Liyhtiny le+st. <br /> � <br /> Pr�ssun � P�►e�nt CO '� Dot� T�at�d �� ^ � <br /> 2 <br /> I�put CFH �T ��� P�rc�nt 0� ��T— Cornpany T�atiny �� <br /> Swck T�rnp. �_P�rc�nt CO ��d NonN of T�st�r <br />