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House heating test record CenterPoint® <br /> Energy <br /> Owner 6(,it£4)e i e— Controls Conversion <br /> Address 2o(0 eh/ ..c kJbb Thermostat /k—e0 Heat plug Vent size 1/ <br /> �; / /- /� y 7 t t <br /> City nr-0 4 V / Value Mt./ T-G 1-� fs Kind of liner/sizeJ B--/ve4 <br /> Heat loss Date htg. Inst /2--`y Limit Ski CO Draft hood %f l/7 v eiRegulator <br /> Sold by CenterPoint Energy Limit setting f CjC7 Filters:Size AR.z.5 AI Number <br /> Installed by CenterPoint Energy Fan setting 77,,w, Chimney location: X Inside 0 Outside <br /> Electrical work by CenterPoint Energy Pilot type 44' Svc- Chimney construction 1.--Vt'rl fi <br /> Heat type: 1K FA 0 Space heater Pilot make 4,,,-,---i'r! Wiring )( Test tag X c, <br /> Gas line by C 0.14e7"d f ell/ Pilot model 7/ 7 Lighting Inst --1C-- Date tested /2_(/—c? <br /> Unit heater Other Pilot timing qS Sid Company testing CenterPoint Energy <br /> Pressure. i fire/ fire - Tester's name , I t i4,%. <br /> Gas design A <br /> Make 6i--/j t'r Model j6)to4b7o Percent CO2 g� <br /> L/�� Input CFH A 000 Percent 02 7 9 <br /> Serial no. 7 j/I/�' /.( y� 6 <br /> Stack temp .3: 1 Percent CO 3 6 A <br /> Input &t,/ 11 L'D F <br /> ©2005 CenterPoint Energy Form 235 Rev.1/05 ID-42352 <br />