HomeMy WebLinkAbout1980-01-03 House Heating RecordFLOOR
HOUSE HEATING TEST RECORD
ADDRESS /ffT^vf
OCCUPANT ^ /£vy^f _______________
HEAT LOSS____________DATE HTG. INST____________________
SOLD BY--------------------------------------------------------------------------------------INSTALLED BY
APT._
OWNER
CITY SUBURB
EUctrical Work By____
TYPE OF HEAT GA
Gas Lino By
HW STEAM SPACE HTR.UNIT HTR.OTHER
PAS.PESIGN
MAKE
Model
Serial
1 A) n ifT
_____________________________
INPUT___
CONTROLS
THERMOSTAT . M. H'____ Heat Plug
Valve _____________________________
Limit____/HH '_________________
J.
Limit Setting---------------------
Fan Setting --------------
Pilot Type
Pilot Make -------------------------
Pilot Model ______________
Pilot Timing----------------------
L.W. Cut Off ____________
Input CFH---------------
Stack Temp.
Form 235
.Percent CO.
Percent 0,
Percent CO
if.
CONVERSION
MAKE OF BURNER
Model ___________
Mox. BTU Rating___
MAKE OF FURNACE
Model _____________
Vent Size ___
KIND OF LINER SIZE^- V NONE
Filfors Sixo /^ ^ 1
Chimney Location Inside___
Chimney Construction
Smoko Bomb V
Draft C K'm,
Door Pressure
Number
^ Outside
Wiriiring
Test Tog
/-■?- r<)
Compony Testing _
------<
Date Tested
Compony Te
Nome of Tester