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ADDRESS X4:2 <br />OCCUPANT _ <br />HEAT LOSS <br />SOLD BY <br />Electrical Work By <br />TYPE OF HEAT <br />HOUSE HEATING TEST RECORD <br />DATE HTG. INST. <br />GA FA HW A____ STEAM <br />APT. FLOOR CITY I___ -c' SUBURB <br />OWN ERM A� a? 2S2-0 <br />—INSTALLED BY 4'e%tYrAse /Y%_�______ <br />— Gas Line By <br />SPACE HTR. UNIT HTR. OTHER( 1�- - <br />GAS DESIGN CONVERSION <br />MAKE —.MAKE OF BURNER <br />Model Model _ iL 5 - <br />Soria I <br />—Serial Max. BTU Rating <br />INPUT MAKE OF FURNACE <br />Model <br />CONTROLS <br />THERMOSTAT Heat Plug Vent Size <br />Volvo KIND OF LINEfj S���h lell SIZE ' NONE - <br />Limit Draft Hood G/1'Y/c�1I -_ Regularor <br />Limit Setting Filters Size Number— <br />Fan Setting Chimney Location Insidey Outside <br />Pilot Type Chimney Construction <br />Pilot Make <br />Pilot Model Smoke Bomb Wiring _ <br />Pilot Timing :t Z k Test Tag -- <br />L.W. Cut Off Door Pressure Lighting Inst. <br />ressure z0 • _> Percent CO2�- Date Tested <br />Input CFH Zca,oco Percent 02 /Company Tes <br />Stack Temp. — /nO Percent CO Z11 IQ Name of Test <br />Form 235 <br />