Laserfiche WebLink
H�IJSE HEATING TEST RECORD <br /> ADDRESS /1�0 " L� �� ^' � � APT. FLOOR CITY SUBURB <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. VL <br /> SOLD BY INSTALLED BY z <br /> Electrical Work By Gas Line By <br /> TYPE OF HEAT GA FA X HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> a GAS DESIGN CONVERSION <br /> MAKE —►-1 7MAKE OF BURNER <br /> �- <br /> Model "oc_t_0L?o q5 Model <br /> Serial 03031 f i x Max. BTU Rating NZ <br /> INPUT qC).U� MAKE OF FURNACE <br /> Model _ <br /> CONTROLS n i/ <br /> THERMOSTAT "�W Meot Plug Vent Site_ p� <br /> Valve ZZ KIND OF LINER SIZE <br /> Limit 1 t)t Draft Hood O��I; Rbuletar �' 1 7r ICt` �lL� <br /> Limit Setting G Filters Size Number <br /> Fon Setting Chimney Location Inside Outside <br /> ti <br /> Pilot Type 0 Chimney Construction r) ELI( <br /> Pilot Make tA W . � <br /> Pilot Model Smoke Bomb Wiring t! <br /> Pilot Timing 'Sk Draft Test Tao <br /> L.W. Cut Off `` Door Pressure Lighting Inst. <br /> Pressure �t Percent CO Z Dote Tested <br /> Input CFH —Percent O Company Testing <br /> Stack Temp. _T�/�� Percent CO &o Name of Tester <br />