HomeMy WebLinkAbout1984-12-28 House Heating Test RecordADDRESS 4.
G TEST RECORD
■‘^SSess^'■V •-.
APT.
OCCUPANT
HEAT LOSS
SOLD BY
OWNER
SUBURB
EUctricpI Work By____
TYPE OF HEAT CA
INSTALLED BY
Gas Lina By_________________
STEAM SPACE HTR.UNIT HTR.OTHER
GAS DESIGN
CONTROLS
Heat Plug
Limit Setting —
Fon Setting—C
Pilot Typ«_v^
Pilot Moko
Pilot Modol
Pilot Timing
L.W. Cut Off
^XMC:
Protsufo —Z
Input CFH
Porcont C0<
Porcont 0.
Stock Tomp, —T ■■ Pofcont
Form 235
CL
CONVERSION
MAKE OF BURNER
Model____________
Max. BTU Roting
MAKE OF FURNACE
Model_____________
Vent Size
KIND OF LINER__
Draft Hood______
Filters Size
SIZE NONE.
Ro^ulofor
—Numbor
Chimnoy Location
Chimnoy Construction
Insido Outsido
Smoko B
Draft
Wiring
Door Prossuro
Doto Tostod__
T... To,
Lighting Inst. \J------
^------------------------
Company Testing
Name of Tostor
'A
r.
i
stieiaiU . • > ...^xaMsisai mg
1
ADDRESS
OCCUPANT
HEAT LOSS
SOLD BY
EATING TEST RECORD
EUctrical Work By
TYPE OF HEAT GA
iIGN
HW
INPUT
d 9
Limit
COJ^TROLS
— Heat Plug
Limit Setting_■* ^
Fon Setting f
Pilot Type
Pilot Moke
~ 9
Pilot ________
Pilot TimSny^^^ ^
L.W. Cut Off __________________
Pressure __
». '•
SUBUR
INSTALLED BY
Gas Lino By______
STEAM SPACE HTR.UNIT HTR.OTHER
Input CFH-
Stock Tem**
Form 235
•Percent CO,
Percent 0.
Percent CO
M
CONVERSION
i*
MAKE OF BURNER
Model____________
Max. BTU Rating___
MAKE OF FURNACE
Model_____________
Vent Size A"
KIND OF LINER _
Draft Hood_____
Filtors Slio
Chimnoy Location
Chimnoy Construction
Smoko Bomb
Draft
c^2t^jL^ jy SIZE NONE.
Rogularor
.Numbfr
Outside
Door Prossur
Dato Tostod
Company Testing
Name of Tester ..
-Wiring A/fi ^
-Test Tog-----Q/^
Lighting Inst.