Laserfiche WebLink
�'�.w�r-�- � W sr $ ���3� � <br /> HO SE HEATING TEST RECORD <br /> ADDRESS �Q�� �a��` � � ��f- ��APT. FLOOR CITY SUBURB �"-'—�'� <br /> OCCUPANT OWNER <br /> HEAT LOSS 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. O�MER <br /> r <br /> GAS DESIGN CONVERSIQN <br /> MAKE MAKE OF BURNER <br /> Model ' Modsl <br /> $srial �-' � Max. BTU Rating <br /> INPUT MAKE OF FURNACE <br /> Model <br /> CONTROLS C/ � <br /> THERMOSTAT Hea Plug Vent Size <br /> Valvs KIND OF LINER SIZE NONE <br /> Limit �"� Draft Hood — Regularor � <br /> Limit SeNing Filters Size Number <br /> Fan Setting �' Chimnsy Location Insids C( Outsids <br /> Pilot Type k� Chimney Construction � � �'< < �/^ <br /> Pilot Make / <br /> Pilot Model $moks Bomb M�irin9 �� <br /> Pilot Timing `cS � � Draft Test Tay <br /> L.W. Cut Off �^ Door Pressure Liyhtiny Inst. <br /> `j �' -�' C.,� <br /> Pressure � Percent C0� J Date Tested <br /> Input CFH Percent OZ Company Testing <br /> Stack Temp. � Percent CO Name of Tesfer <br /> Form 235 <br />