Laserfiche WebLink
_ HOUSE HEaTING TEST RECORD <br /> , <br /> ADDRESS ' ` � � �� APT. FLOOR CITY SUBURB ����'�'�-�� <br /> OCCUPANT �- � OWNER <br /> HEAT LO55 DATE HTG. INST. <br /> SOLD BY INSTALLED BY <br /> Electrical Work'By Gas Line By <br /> TYPE OF HEAT GA FA •�HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> �' � GAS D SIGN CONVER `� ` �'! <br /> i <br /> MAKE MAKE OF BURNER ==.� C���} ' <br /> Model � � , d Model ` _ � <br /> Sxial Max. BTU Rating <br /> INPUT l �S L�O C' MAKE OF FURNACE ' � <br /> Model _ i �',��\� _ .,.,, .. <br /> CONTROLS � � ��>t�'r�� � �� � <br /> _ <br /> , �- �.��_ �, � -- ... <br /> THERMOSTAT �, N; Heat Plug t � Vent Size k " -y <br /> ^� �_.. <br /> Volve /-`� ' KIND OF LINER SIZE NONE <br /> Limit ���' Draft Hood Regularor <br /> Limit $etting l�� , Filters $ize�l�r� � Number � <br /> Fan Setting Chimney Location Inside �^ Outside <br /> Pilot Type L Chimney Construction � �� `�� r <br /> Pilot Make <br /> Pilot Model Smoke Bomb Wiring <br /> Pilot Timing Draft �'CJ`�t�e Test Tag `— <br /> L.W. Cut Off Door Pressure Lighting Inst. �' <br /> Pressure -� Percent C0� "'"' �' Date Tested �' — <br /> Input CFH �!� .S Percent OZ Company Testing <br /> 'Stack Temp. � � Percent CO Name of Tester � <br /> Form 235 <br />