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,� �y ��� �Shc6� <br /> n HOUSE HEATING TEST RECORD � <br /> ADDRESS /�6 � f�r�-�� C,����t� 1L/2 APT. FLOOR CITY SUBURB �""'y� <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE NTG. INST. 1J <br /> SOLD BY INSTALLED BY V�G � "�i � — <br /> El�ctrical Work By Gos Lin• By S�u'l�% <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. _�OTHER <br /> J�� GAS�,QESIGN CONVERSION <br /> MAKE �+-� ���� MAKE OF BURNER <br /> Mod•I � • • d bAod�l <br /> S�rial � ` Mox. BTU Rotinq � <br /> INPUT �^- MAKE OF FURNACE �� <br /> Mod.l _ <br /> �1�� �,i'L CONTROLS +N <br /> THERMOSTAT ' ot Pluy J— V�nt Si:�_ <br /> Valv• � KIND OF LIN SIZE�NpN� <br /> Limit � Droh Hood �� R�pularor -K 1%%� �� <br /> Limit S�ttiny � Filt�rs Si:• ►rumb�r � <br /> Fan S�ttin9 � �� aimn�y Loeatlon Insid� Ou`ts.,�'d_•J <br /> Pilot Typ� � � O�imn�y Construction , `"��•�'�-� <br /> Pilot Mak. � <br /> Pilot Mod•I Sinok• Bomb Wirinp <br /> Pilot Timiny k,� S� D�o(t 1,�. T�sf Tao <br /> L.W, Cut Off �^ Dow Pr�asw� LiphNn Inst. G <br /> 7 ,_/ ,- �i <br /> Pnssur._ _P•rc•mCOZ �` Dot� T�st�d <br /> Input GFH �'�^ P��e�nt O� Compo�y T�ati�y <br /> Srock T�mp. _��/'��P�ro�nt CO �� � Non»of T�se�r <br />