Laserfiche WebLink
/-f L�� � HOUSE HEATING TEST RECORD � <br /> ADDRESS _ ZISD �/'GLS/10��" APT.--FLOOR GTY �ILu��v SUBURB <br /> OCCUPANT_��s�?�'�Y _.OWNER <br /> HEAT LOSS _DA�T�E�HTG. INST. <br /> SOLD BY `tYG�iY� o INSTALLED BY �sc�l�2e <br /> Electrical Work By Gas Line By ��2� <br /> TYPE OF HEAT GA FA��HW STEAM __SPACE HTR. UNIT HTR, OTHER <br /> / GAS DESIGN C�NVERSION <br /> MAKE /5...�/Yt�Y MAKE OF BURNER — <br /> Model �TZO Q3E- 7S—/ Model __ <br /> $erial 589/MQ� � / Max. BTU Rating • <br /> INPUT ��� MAKE OF FURNACE — FEB � � j�`n� <br /> Model e� <br /> , . . _ . � <br /> CONTROLS <br /> THERMOST� bI'1�G k!?� Heat Plug � � Vent Size ,��� <br /> Valve oG S/7C�Gt> KIND OF LI—N�ER'" SIZE NONE <br /> Limif —��XC)/l Draft Mood Plui��"� /h Regularor �--�Jr <br /> Limit Setting ���6 Filters $ize�Y_GT��—Number � <br /> Fan Setting gs—�2.� Chimney Location Inside 1�—Outside <br /> Pilot Type e%��f�n✓��G Chimney Construction �/a55 � <br /> Pilot Make —�'Q��vf"� ��ICu.J <br /> Pilot Model `SI�735L. Smoke Bomb Wiring � <br /> Pilot Timing �� f�S�l�l��' Draft ✓ Test Ta� <br /> L.W. Cut Off Door Pressure Lighting Inst. � <br /> Pressure �•S Percent CO / o Date Tested Z� ' <br /> In ut CFH ��' 2 <br /> p ��— Percent 02��__ Company Testing <br /> Stack Temp. C��.�___.Percent CO —���— tJame of Tester <br /> / <br /> Form 235 <br />-��,{r ... ,.w,.."'1.. � � <br />