HomeMy WebLinkAbout1979-11-26 House Heating RecordHOUSE HE
ADDRESS S
OCCUPANT
HEAT LOSS DATE HTG. INST.
.OLD BY ----- �.
Electrical Work By --
TYPE OF HEAT GA _ __ _ FA .�f HW r..7EAM
G S DESIGN
ING TEST RECORD
APT. FLOOR _ CITY ____ _ . _ SUBURB
OWNER
INSTALLED BY
Gas Line By�—
SPACE HTR. UNIT HTR. OTHER
CONVERSION
MAKE I- _ MAKE OF BURNER
Modal — _ Iv Modal _ __
Serial �_ ___—_____ Max. BTU Rating
MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT_)j LH
Heat Plug
Vent Size
'/_)j
Valve _ _.,fig tetC�
1 . _
KIND OF LINER L _
SIZE -i'_ NONE
Limit _ _-- !_-_---
-- _ Draft Hood __.
Regulator
Limit Setting.-. _—._-
Filters Size __Lle,.t-----Numiar—_(
-- _
Fan Setting
Chimney Location
Inside
�� Outside
Pilot Type
Chimney Construction11e
LtL -
Pilot Melo
Pilot Modal _.
_ Smoke Bomb - - --
—Wiring
Pilot Timing --
_ _ Draft
—Test Tog f
L.W. Cut Off?? _
Door Pressure
Lighting Inst.
Pressure--Aic.�'� �_
Percent CO
LLQ--- Date Tested A
'204 `
V
Input CFM `
Percent O 2_
Company Testing _
1
_
Steck Temp. `s) A%—__
Percent CO
_ Name of Tester
Form 23S