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ADDREiS�- <br />OCCUPANT <br />fit, C ir:, <br />HOUSE <br />SI <br />HEATING TEST RECORD <br />APT. FLOOR —CITY SUBURB `&."`V <br />OWNER <br />HEAT DOSS DATE HTG. INST. <br />SOLD BY rr-'f[2 jel�'�= INSTALLED BY <br />Electrical work By Gas Lina By <br />TYPE OF HEAT GA FA - ;z HW STEAM SPACE HTR. UNIT HTR. OTHER <br />_ GAS DESIGN <br />MAKE L AL ' -A. MAKE OF <br />Model % /,�) G13 C— l 1UC C, Modal — <br />Seriol y't? C � Max. BTU <br />INPUT /0 /y MAKE OF <br />CONTROLS <br />THERMOST T ��� Haat Plug <br />Valva <br />Limit <br />Limit Setting — d as <br />Fon Setting <br />Pilot Typo 1:4f!g AA1 ` .j� •� <br />Pilot Make <br />Pilot Model <br />Pilot Timing <br />L.W. Cut Off <br />firPressure w Percent Co, <br />Input CFH U Percent 0 7 0 <br />Stock Temp. 3 t'D Percent CO2 0' <br />Fens 235 <br />Madel <br />BURNER <br />Rating <br />FURNACE <br />_ ., <br />Vent Size <br />KIND OF LINER <br />CONVERSION <br />SIZE b NONE <br />Draft Hood Regulavor <br />Fi Iters Size Number <br />Chimney Location Inside �-� Outside <br />Chimney Construction L,�itf_1 ,4 t <br />Sam" Bomb — wiring it/ <br />Draft V Test Tog ? <br />Door Pressure i Lighting Inst. U' <br />Date Tested — <br />Company Testinm <br />Name of Tester <br />/D - J? 0 <br />