Laserfiche WebLink
HOUSE HEATING TEST RECORD <br /> ADDRESS v1 ""� "" "'��T APT. FLOOR CITY SUBURB OP-0140 <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. �q� <br /> SOLD BY INSTALLED BY V <br /> Electrical Work By Gas Line By - ::A 11 it�, <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR.,,. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE K — MAKE OF BURNER <br /> Model Model <br /> Serial Max. BTU Rating <br /> INPUT MAKE OF FURNACE <br /> Model <br /> CONTROLS �— <br /> THERMOSTAT Pug Vent Size <br /> Valva KIND OF LINERn SIZE NON <br /> Limit d Draft Hoods Regularor <br /> Limit Setting Filters Size Numb r <br /> Fan Setting Chimney Location Inside Ou side <br /> Pilot Type Ltf Chimney Construction <br /> Pilot Make �1 <br /> Pilot Model Smoke Bomb Wiring <br /> Pilot Timing �.� Draft Test Tog <br /> L.W. Cut Off Door Pressure LightinInst. <br /> Pressure Percent CO2 Date Tested <br /> Input CFH Percent 02 Company Testing �� <br /> Stack Temp. C� Percent CO D(0 Name of Tester <br /> Form 235 <br />