HomeMy WebLinkAbout1979-12-19 House Heating Test RecordHOUSE HEATING TEST RECORD
ADDRESSAPT.
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FLOOR CITY SUBURBS
OCCUPANT--=�
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OWNER
HEAT LOSS
DATE HTG.
INST.
', �'' ; ` r.: --GAS CO. METER BADGE #
SOLD BY
` �►' - "t ` -�
INSTALLED BY
Electrical Work
By
is L
-Gas Line By
TYPE OF HEAT
GA_____ FA.�— HW
STE SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE-` MAKE OF BURNER
Model ;• - ` � at' - t Model_
Serial ' r ( __- --Max. BTU Rating. -_---.-
INPUT MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT_ IL ' 1 H at_Plug �" Vent Size . _ t�
`` i ,10 �� KIND OF LINE t
Valve SIZE � - NONE
�.�----` • '
r1Draft �(` �; Regulator
Limit
� ��1tE �����.�' �� -� . �► •� food �= ,L�� ��t
Seton L Filters}- Size �L Number---
Limit� .
gOutside
►i -C,_�
Fan Setting _ .Chimney location Inside
ti
• --= Li'4 � � ` C' �`- �� himney Construction�-�`=--
Pi lot Type ,�-_. �' -
Pi lot Make ' ' ' A - r� `�`
Pilot Model Smoke Bomb Wiring `-
Pilot Timing—. �; -�. , t ��+' - �� Draft �- ' - —Test Tag ''';91
- -
or Pressure Lighting Inst._
L.W. Cut Off
Pressure Percent CO2 Date Tested—
Input
ested Input CFH��I Percent 02 Company Testing
�•'- f
Stack Temp. c t Percent CO Name of Tester