HomeMy WebLinkAbout1979-04-26 House Heating Test RecordADDRESS
OCCUPANT
HEAT LOSS
SOLD BY
Electrical Work By
TYPE OF HEAT
MAKE
Model _
Serial _
INPUT
HOUSE HEATING TEST RECORD
/►TE HTG. INS T. —
,�— � /_a .
GA FA L�HW STEAM
GAS DESIGN
„-1 -7+�
APT. FLOOR
OWNER
.f* /(I //
CITY
SUBURB
_INSTALLED BY
_Gas Line By /� �r
SPACE HTR. UNIT HTR. OTHER —
MAKE OF BURNER.-
Model
URNER._Model _
Max. BTU Rating
MAKE OF FURNACE
Model
CONVERSION
CONTROLS
THERMOSTAT
•
V#
Heat Plug
Vent Size —�—
__
Valve
—_
KIND OF LINERl h. %`— ,� SIZE—NONE
Limit
(
Draft Hood '"� Regulator
�
Limit Setting _
& ' �
Filters Size _ Nu or
Fan Setting
/ /��
Chimney Location Inside_ Outside
Pilot Type
_
Chimney Construction
Pilot Make
�
'
Pilot Model
.r
Smoke Bomb Wiring —
Pilot Timing
, 17
''
Draft ._ �� Test To
L. W. Cut Off
Door Pressure Lighting Inst.
-
Pressure
—.
Percent CO2y
Date Tested
Input CFH�►'
Percent 02_
Company Testing
Stack Temp.
V
Percent CO f��
Nome of Tester
Form 235