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HOUSE HEATING TEST RECORD <br />ADDRESS s���_ V 1r�: APT. _ __. FLOOR --CITY -__ SUBURB <br />OCCUPA��i_.—___ OWNER - 1 iM1trl- <br />-- -- -- - <br />HEAT LOSS___ _ MW <br />.DATE MTG. INST. 1 <br />SOLO BY _�L: L__L___--� _�..'� : INSTALLED BY- <br />Eloctrical Work By ---------__.. -- _ Gas Line By - <br />TYPE OF HEAT GA __ _____ FA J_.-'__ HW STEAM SPACE HTR. UNIT HTR. OTHER _ - -- <br />GAS DESIGN <br />MAK E <br />Model <br />Serial q <br />INPUT __ = 0 Q1 r' /s Ty <br />CONTROLS <br />THERMOSTAT Q Heat Plug <br />Voles L 1 ! A,V2- : i --._ - <br />Limit z <br />Limit Setting 047 <br />Fan Setting .1 <br />Pilot Type -' e- ,Z ' <br />Pilot Make _— <br />Pilot Model <br />Pilot Timing--- <br />L.W. Cut off----�_.�_-- - - <br />Pressure ' .v(- Percent CO - <br />Input CFH._. f U� Gr �? __ Percent 02 <br />Stack Temp. � - Percent CO J <br />Form 235 <br />CONVEkS10N <br />MAKE OF BURNER _.. <br />Model -- <br />Max. BTU Rating <br />MAKE OF FURNACE <br />Model <br />Vent Size .. I� h <br />KIND OF LINER . _ _ SIZE <br />Draft Hood _ _ _ Regulator <br />Filters Size Number <br />Chimney Location Inside <br />Chimney Construction:�- <br />--- - NONF -- <br />Outside <br />Smoke Horeb _ Wiring <br />Nall —_-Test Tog <br />Door Pressure—_Lighting Inst. <br />Dote Tested <br />Company Testing __ f4 - > f 4f c - <br />Nome of Tester •' --- <br />