HomeMy WebLinkAbout1984-11-24 House Heating Test RecordHOU HEATING TEST RECORD',
..-I /
ADDRESS /�'� �- - -CITY----.---SUBURB( OCCUPANT
-------_- ---------..__OWNER . L - -- -------------
HEAT LOSS E,rTG. I ST--- - - -- --------- - - --- ----
SOLD BY INSTALLED BY
Electrical Work By -- _ Gas Line B _-- -- -__-- - _-._-. -
TYPE OF HEAT GA _ FA --.HW _ STEAM ___-_ SPACE HTR. _ __ UNIT HTR. __. OTHER
GAS DESIGN CONVERSIOI'
MAKE t, ,. .t - - MAKE OF BURNER -- - - - --- - -- - ----
Model_ - " 6�_— Model
Serial ���'r-1-yJ -- - _ Max. BTU Rating --- - -- --- - - -- ------__. - ------
INPUT - - -- ----- MAKE OF FURNACE - - ---- - - - - -- --- - - -- - -
Model -- -- - ---- -
CONTROLS
r�
THERMOST T - Heat Plug -- - -- - - Vent Size
Valve - ------------- -- KIND OF LINE$.�C--- SIZE ; NONE
------
--- ---
Limit __-_-_-- Draft Hood _y_- Regularor_-___
Limit Setting _� ---- Filters Size - -Num
Fan Setting `'4 7 ! - Chimney Location Insid 7 Outside
Pilot Type � Chimney Construction --- _, ---- ---- ----------
P i l of Make _ _�✓Li/h� -- __
Pilot Model — Smoke Bomb _ Wiring
Pilot Timing -it _ Draft } Test Tog-
L.W. Cut Off __--__—__ _ Door Pressure_ -__ __ Lighting Inst. —
Pressure t —Percent CO2 - Date Tested
Input CFH Percent 02 — Company Testing _
Stock Temp. Percent CO — Name of Tester
Form 235