Laserfiche WebLink
HOUSE H ATING <br />J Y <br />ADDRESS ' 1 <br />OCCUP %NT <br />HEAT LO DAT H INST. <br />TEST RECORD 1-- S/,? / 7 <br />APT.F OOR CITY <br />OWNER <br />0 A-K,-r� <br />SUBURB <br />SOLD BY INSTALLED BY <br />Electrical Work By Gas Line By <br />TYPE OF HEAT GA FA Lel' HW STEAM SPACE HTR. —__UNIT HTR. _OTHER <br />MAKE <br />Model <br />Serial <br />INPUT <br />MAKE OF BURNER <br />Model <br />Max. BTU Rating <br />MAKE OF FURNACE <br />Model -- <br />CONVERSION <br />CONTROLS !� <br />THERMOS THeat Plug 4"&nt Size <br />Volvo KIND OF LINER SIZE NONE _ <br />Limit Draft Hood Regulator <br />Limit SettingFi Iters Size _ Number----__ <br />Fan Setting Chimney Location Inside �~ Outs;de _ <br />Pilot Type Chimney Construction <br />Pilot Make <br />Pilot Model Smoke Bo b — Wiping <br />Pilot Timing c _ Dr oft Test Tag <br />L.W. Cut Off — Door Pressure Lighting Inst. G• <br />Pressure Percent CO2 Daft Tested <br />Input CFH—y6( Percent OZ Company Testing -- <br />01 •ck Temp. __ Percent CO Name of Tester <br />Llia <br />