HomeMy WebLinkAbout1980-01-17 House Heating Test RecordHOUSE HEATING TEST RECORD
ADDRESS �'=�-� `ter* 0 " 'l -.----APT. ------- FLOOR _-.c----___ CI TY
OCCUPANT — -------- OWNER ----- - ---
SUBURB Nl__�.L_ r�
HEAT LOSS _ DATE HTG. INST. - —
SOLD BY —__--- _------_.-_-- _—INSTALLED BY A'
Electrical Work BY __—_—_—_--._-. __----Gas Line By u'�+ —
TYPE OF HEAT GA -- FA __ HW _STEAM - _ SPACE HTR. ___ __UNI HTR. _OTHER -
GAS DESIfN
MAKE u 14IJ I IZ7/ _MAKE OF BURNER
Model (f,rC2 /fon Model --_—_-- ---------- -
--
Serial :2 7 7 Max. BTU Rating
INPUT : C2 t-�- '� MAKE OF FURNACE
M d 1
CONVERSION
oe - -- - -- - -- - — -- - . -- - - _
1 CO. ROLS
THERMOSTAT'''/ eat Plug - - Vent Size - ---1- ---�-- �- - - - - -
Valve ___ KIND OF LINER____ '______ SIZE _ _____. NONE
Limit ____ 1 — Draft Hood /Regulator - -- . - -
Limit Setting —� Filters Size
Fan Setting - - Chimney Location Inside ___ X _______. Outside _
�! r O
Pilot Type 1�%�-�"�'��'' � Chimney Construction
Pilot Make
i
Pilot Model _ ? .r Q Smoke Bomb
I
Pilot Timing �Sp Draft _.Test Tag -
---_
I _W_ C"t Off Door Pressure _ ---Lighting Inst.
Pressure — Percent CO2 Date Tested
Input CFH Percent 02 Company Testinc
Stack Temp. Percent CO C Nage of Tester
Form 235