HomeMy WebLinkAbout1981-03-10 House Heating Test RecordA'v
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HOUSE HEATING TEST RECORD
ADDRESS o&O"24o2 ejV Lk"' —_—APT. FLOOR CITY - SUBURB C4N4
OCCUPANT 6!&W& -0G C/1 2AsaT OWNER.—[ Lt�
HEAT LOSS —DATE HTG. INST.
SOLD BY TeAi�w /v- r- L ____INSTALLED BY JGFSJL.�
Electrical Work By Gas Line By -rLv7- %�•. �i��-<�'L-
TYPE OF HEAT GA _jZ_ FA _(-/ HW STEAM _—_ SPACE HTR. —_UNIT HTR. _OTHER _
GAS DESIGN
MAKE %SNE _MAKE OF BURNER .
Model 1( (QE)3 A -es'7A _ Model -
Serial ,yam 2T- 6:%:5 'L /1— Myrc. BTU a�tV --
INPUT Cab MArKE OF FURNACE
Model
CONTROLS
THERMOSTAT *Heat Plug
Valva
Limit
Limit Setting —;�!Qo- 04 ---_
Fan Setting 90- /3S' — -
P i l of Type I AP I -A a sL �__—_-_-_ _--
Pilot Make A0 -'A >'" C'iOV�
Pilot Model &Of�bb
Pilot Timing 6'dn -, rAws T _
L. W. Cut off
r
Vent Size
CONVERSION
KIND OF LINER_ 6yAI.._T"AS __ SIZENONE
Draft Hood Regulator
Filters size j2vt J& Number 2
Chimney Location Inside _Outside —
Chimney Construction -._-
Smoke Bomb LZ Wiring
Draft - ----Test Ta
Door Pressure
Pressure Percent CO2 �— Date Tested
Input CFH_ Percent 02�_. Company Tea
Stack Temp-.--s__-Percent CO—_ Name of Tesi
Form 235
Lighting Inst
-T—
ADDRESS
RAKE
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:5"eO v/moi -
FLOORI DATE
CITY-
VILLAGE
ITY-
Y1LLAGE D .O.ua
-SEQ, NO. AUTH. NO. CERT. NO.
MAKE OF -� GWA MWAY SPACE F I REPOT SIZE
PLANT 7 /9,/JE� _ 1:10 (n 6 ❑ ❑
GAS LEAGTH SIZE YEAR TYPE MD/HR
4tmw ML
-DOMESTIC OMMERCIAL ❑
N CONST. O OLD CONST.
REMARKS 6PGrJcG�"J G.tJ7 �'T
E UIP.
RANGE
W. H.
GAS
ELEC.
MD HR
CF
CF
REFR.
-CF
MISCL.
CF
H. H.
CF
_
TOTAL
CF
DATE METER ORDERED
NEAT LOSS 7 --
EQUIPMENT
MCF
SOLD BY �XO fo G,9.4"'o.00
45;94 O�Ao) P /04 k k Vi to ,
ESTIMATE
CHECKED BY
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