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HOUSE HEATING TEST RECORD <br />ADDRESS I I <br />OCCUPANT -XJ <br />HEAT LOSS <br />SOLD BY —U11 <br />Electrical Work By <br />TYPE OF HEAT <br />MAKE <br />Model <br />Soria I <br />INPUT <br />DATE HTG. IN <br />GAS DESIGN <br />STEAM <br />APT. FLOOR CITYCQ) _SUBURB <br />OWN E R aAW F <br />INSTALLED BY _1 J4 Y <br />Gas Lin• 6y <br />SPACE HTR. UNIT HTR. <br />MAKE OF BURNER <br />Model <br />Max. BTU Rating <br />MAKE OF FURNACE <br />OTHER <br />VERSION <br />CONTROLS iy <br />THERMOSTAT 9"R Heat Plug Vent Size <br />Valve KIND OF LINER LuZi SIZE —NONE <br />Limit Draft Hood Regulator — <br />Limit Setting bb Filters Size `—' Number <br />Fon Setting'"` Chimney Location Inside Outside <br />Pilot Type — CIL4 Ak <br />Pilot Make cc) <br />Pilot Model <br />Pilot Timing <br />L.W. Cut Off <br />Pressure 3 Z2" Percent CO,, <br />M�v q <br />Input CFH L Percent 02 <br />Stack Temp. 7 Percent CO <br />Chimney Construction 1SrK-K <br />Smoke Bomb ✓ Wiring wGWiEY ELECL <br />Draft • 0 Test Tag ✓ <br />Door Pressure _ Q 2 Lighting Inst. Q <br />Date Tested <br />Company Tei <br />Name of Tesi <br />Form 235 <br />