HomeMy WebLinkAbout1980-11-28 House Heating Test RecordADDRESS a' 6 � e_ f
OCCUPANT
HEAT LOSS DATE HTG. INST.
SOLD BY —
Electrical Work By _
TYPE OF HEAT GA FA HW
HOUSE F'EATING TEST RECORD
LA -4" _. APT. FLOOR CITY
-?^-ti __ OWN E R -
INSTALLED BY
Goa Line By
---.---STEAM --.----SPACE HTR. ----- UNIT HTR,
OTHE R
SUBURB (•-&e_!'LX*%'
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S DESIG
CO%VERSION
MAKE__
/ ��
MAKE OF BURNER
Model .t/ i4G
4zgo _1?,A� .--Modal
Social G� ��
� 7/9 S _.�
Max. BTU Rating—
INPUT Oe e'
MAKE OF FURNACE—
Model - -- - --- - ------
CONTROLS
THERMOSTAT
Heat PIu9___
_ Vent Size
Valve
KIND OF LINER k211
SIZE 17—NONE —
Limit
Draft Hood ___
Regulator -_
Limit Setting % �� ��
Fi Iters
__
—Number --Z--
___ __
Fan Setting
Chimney Location Inside _ __ _ Outside
Pilot Type
Chimney Construction
Pi lot Make —
- - --- --
Pilot Model
Smoke Bomb
Wiring -
Pilot Timing —
-- ---- --- -- --- ----
Druft ----_ - -- ----
Test Top -_- - - - ----- -----
L.W. Cut Off __--
----
Door Pressure ___ ____
_____ Lighting Inst.
Pressure
Percent CO2 ----- ' ------ -_
Date Tested_—
Input CFH _ .-_--------._--_
.__ Percent 02 _ _Lc_ _
_- Company Testing
Stack Temp. - ----- Percent CO -- --- -
-- Name of Tester
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