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Owner � Q c c�nC� ����` �`� Controls Conversion
Address �� � �7--. �'� ����Ppt�`� ��� Thermostat � �. �r � ; Heat plug Vent Size � `�
Cit�C �'; U� �.��_ �alve �,,,� �, ^ Kind ofliner/size C�� �,
Heat loss Date htg. inst (Gj� �j ��- Limit �=, ^F� Draft hood j Q��� -��Regulator
Sold by CenterPoint Energx Limit setting Filters: Size� ����Number 1
Installed bv CenterPoint Energy Fan setting 1 i�L� Chimney locations: � Inside Q Outside
Electricalworkbv CenterPoint Energy Pilottype '���� Chimneyconstruction
Heat type �FA Q Space heater Pilot make Wiring 1� Test tag v
Gas line by (' �� Pilot model Lighting Inst �— Date tesied �� `� �� �
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Unitheater Other Pilot timing ��. t� r�vZ. Companv testin4 CenterPoint Energy
Gas design Pressure: Hi fire/Lo fire � j � ��5.�' �- Tester's name � 2,4-� ����� �� ���3
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Make�, (�9^�"� Model� � �� C� �� rcentCO2 � �
Serial no. l� ���(� rv �_ � �nput CFH L� �' Percent 02 � 1 �
ln ut U� �o tJ � Stack temp'�' Percent CO ��� �
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CNP 235 (11-2008)
CenterPointm
House heating test record � Energy
Owner �f ��C� ����`�5� Controls Conversion
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Address ��-- �1 ;��c ��j�--" Thermostat � Gr1 h�- Heat plug Vent Size � �
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City �C�' t�C '�.�(Jl- Valve �-, Kindofliner/size �-
Heat loss Date htg. inst�� "�- \� Limit �%,' Draft hood � t�3-� Regulator
Soldby CenterPoint Enerqy Limitsetting �� Filters: Size��p>�,�1 Number �
Installed bv CenterPoint Energy Fan setting �� c�-'�� Chimney locations: Inside � Outside
Electricalworkby CenterPoint Energy Pilottype '��'7�., � Chimne construction
Heat type �FA Q Space heater Pilot make Wiring Y� Test tag �
Gas line by C Q� Pilot model Lighting Inst Ll Date tested �^��1�
Unit heater Other Pilot timing Q�C �Stfr C_ companv tesr�nQ CenterPoint Energy
Gas design Pressure: Hi fire/Lo fire Tester's name �-f}ti�-�.- �`l ° 1� �'�` 7� 5�
Make C S� � Model ��L S��14 Percent CO2 �, 1��
Serial no. �'cj `i�-� 1� �' ��, In ut CFH �. Percent 02 `(�
Input �b >� �� Stack tem � PercentCO � M
CNP 235 (11-2008)