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P & D MECHANICAL CONTRACTOR <br />HOUSE HEATING TEST RECORD <br />ADDRESS << ts,;.,A, VD(r_' cu S T CITY <br />OCCUPANT <br />OWNER <br />HEAT LOSS DATE HTG. INST. <br />SOLD BY INSTALLED BY <br />Electrical Work By Gas Line By <br />TYPE OF HEAT GA FA -."L HW STEAM SPACE HTR. UNIT HTR. <br />GAS DESIGN <br />MAKE , 4. MAKE OF BURNER <br />Model �- Pni c CCjL1. L_ r , Model <br />Serial 1 L D 1 Max. BTU Rating <br />INPUT MAKE OF FURNACE IRA <br />Model MW <br />CONTROLS <br />THE RMOSTAT � x Heat Plug <br />Valve — <br />Limit _- ----- _--- -- _ _ <br />Limit Setting _ <br />Fan Setting ---____-- <br />Pilot Type_ — — <br />Pilot Make ---______ _�._---- <br />Pilot Model <br />Pilot Timing_— <br />L.W. Cut Off -- - -- - - -- -- <br />Pressure I,.'-Ve Percent CO2 C1 <br />Input CFH Percent O _L _q <br />2 <br />Stack" �-��' Percent COy 2C <br />9a /to I / <br />Vent Size %% <br />KIND OF LINER SIZE NONE <br />Daft Hood Regulator <br />Filters Size Number <br />Chimney Location Inside— Outside <br />Chimney Construction <br />Smoke,Bomb _ _ Wiring / <br />Draft 1—cAs, t t-;L Test Tell L -- <br />Door Pressure Lighting Inet. l- <br />Date Tested R_ <br />Company Testing <br />Name of Tester — A' <br />�- <br />Form 235 <br />