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HOUSE HEATING TEST RECORD <br />ADA ESS . r.,4a � � I '-t57/_ APT_ FLOOR—CITY a SUBURB <br />OCCUPANT l"M OWNER <br />HEAT LOSS DATE HTG. INST. <br />SOLD BY INSTALLED BY _— <br />Electrical Werk By _. _ Gas Line By ._ <br />TYPE OF MEAT GA FA 'HW STEAM SPACE HTR. UNIT TR. OTHER �— <br />GAS DESIGN ),a? �_� HEATING <br />MAKE 90 1 — 0 MY 1_ &%]A. So. <br />Model � � �:' <br />Swie1 . _ --Me ..'U Rating <br />INPUT— �Z-� r�V MAKE OF FURNACE _ <br />` CONTROLS <br />THERMOSTAT 'l _ Hoot Plus <br />Volvo L6� <br />Limot <br />Limit Setting <br />Fen Setting _ <br />Pilot Type _ <br />Pilot Make _ <br />Pilot Model _ <br />Model <br />Van# Sise I f <br />KING ;JF LINER <br />J <br />SIZE NONE <br />Draft Hoed Regulerer <br />Filters Size Number _. s <br />Chimney Location I lde Outsid, <br />Chimney Construction 1J — <br />Smoke Bomb <br />Pilot Timing -___.__ Draft —_ <br />Miring <br />Test Tog <br />L.W. Cut Off Door Presses• — L ighting Inst. _ <br />wr <br />Pressure Percent CO Dote Tested O <br />Inert CFH Percent 02 s Company Testing- - <br />Steck Temp. ��—__.___ Percent CO Name of Tester <br />Form 235 <br />