Laserfiche WebLink
�'�� � �`��' ,�v��� <br /> , <br /> � Hf�USE H�ATING TEST RECORD <br /> ADDRESS �, �� �ar � <� APT. FLOOR CITY SUBURB ���U <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. �G�. � � <br /> SOLD BY INSTALLED BY � <br /> El�ctrical Work By Gos Lin• By ��- — <br /> TYPE OF HEAT GA FA�HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> ^ AS DESIGN CONV RSION <br /> MAKE � ,j� MAKE OF BURNER <br /> Mod�l fJ C. Q 3�� AAod�l <br /> S�riol U l U�' �� Mox. BTU Rotinq <br /> INPUT ����'� MAKE OF FURNACE <br /> Mod.l _ <br /> �/�� �ON7ROL5 �cl <br /> THERMOSTAT � � H.at Pluy —_ V.nt Siz._ " <br /> Valv �- ;�'' �-- -� 'Z' KIND OF LINER SIZE N�NE�_ <br /> Limit �Us �r Droh Hood � R�qularor �� I 71� `�C:('�) <br /> � <br /> Limif S�ttiny � �� Filf�rs Si:• NumM► <br /> Fan S�ttinq � Qimn�y Location Insid� x Outsid• <br /> u <br /> Pilor Typ� > Sl�p �� Chimn.r Con:trucfion ;��� <br /> Pilor Mok. ��-""�� — � <br /> Pilot Mod�l L��� Smok� Bomb Wi�iny <br /> Pilot Timiny � Sf`L� Draft T�st Tap <br /> L.W. Cut OFf Dow Pr�ssw� Liphtlnp Inst. <br /> Pnssur�_� P�rc�n►CO2 ��t'.F�J/ Do1� T�st�d �� �'J � qvG / -- <br /> I�put CFH �� ��P�rc�nf O� � f(L.=— Compuny T�E�i^: UC/ ` <br /> S�ock T•mp. _ � P�rc�nt CO �tU Nonw of T�st�r �(�`l�''+ � — <br />