Laserfiche WebLink
Fan Setting <br />Pilot Type <br />Pilot Make <br />Pilot Model <br />Pilot Ti in <br />L.W. Cut Off <br />/ /'HOUSE HEATING TEST RECORD <br />ADDRESS �S le 0r v U. APT. FLOO&_ <br />OCCUPANT <br />HEAT LOSS DATE HTG. INST. <br />SOLD BY <br />Electrical work By <br />OWNER <br />CITVe_05tY'9dF SUBURB ' 1 <br />INSTALLED BY �a m�� % n / J A r eoo;.& w. Ad� <br />as Lino By <br />TYPE OF HEAT GA FA Hw STEAM SPACE HTR. <br />GAS DESIGN <br />MAKE MAKE OF BURNER _ <br />Model Model <br />Serial 6 le zee Max. BTU Rating — <br />INPUT 0.00 MAKE OF FURNACE <br />Modal <br />.1 Ze11P - i' T ff7 CONTROLS <br />THERMOSTAT <br />Lf� Heat Plug Vent Size <br />Valve �' KIND OF LINER__ <br />Limit Draft HoodeM V <br />Limit Setting Z* Filt• Si <br />Chi...oy Location I ids t"— Outside <br />Chimney Construction N k- Ice k tj 7-1 ;�14- <br />UNIT HTR. OTHER <br />CONVERSION <br />+ • I <br />iZ 4y, SIZE 4 " NONE <br />Regulator <br />Smoke Bomb _ Wiring — <br />Draft a n Test Tog <br />Door Pressure <br />Pressure j d Percent COZ 7,tDate Tested <br />Input CFN / /p • DOp Percent 03 • Company Tel <br />Stock Temp. - �'�n Percent CO t0 Noma of Toss <br />Lighting Inst. <br />Form 235 <br />