HomeMy WebLinkAbout1981-04-11 House Heating Test RecordHO HEATING TEST RECORD`' �S
ADDRESS _ CITY _ _-__SUBURB
OCCUPANT - --- - OWNER - ---- -- --- -----
HEAT LOSS _ �TG. NS
SOLD BY _--------.--INSTALLED BY
Electrical Work By --Gas Line BY _-�t�..�•-- _____._ _ _ _ __ __- __
TYPE OF HEAT GA _ FA _ HW -__STEAM ______ SPACE HTR. -___.___UNIT HTR. _____OTHER
/I
GAS DESIGN
CONVERSION
MAKE -.MAKE OF BURNER
f a..
Model _ - - - Model .- -- - ---- - --- --- - --- -
Serial Max. BTU Rating _ -- --_-__-- -- _- _-- - -- -- .--
INPUT MAKE OF FURNACE .--_--.__------_---_----------- _ _---
Model------------ ----- - ------
{ CONTROLS �-
THERMOS/ Heat Plug _ Vent Size -
Valve -1! -�- .- KIND OF LINER _ SIZE _ ---NONE---
Limit Draft Hood _ __io�-- Regularor
--
Limit Setting 106 Fi Iters Size __-_ ___ __Number
ot
Fan Setting / ''mA19 Chimney Location I7-4
sid __._ __ Outside
Pilot Type - :�tG� L- Chimney Construction ___�__---
P i l o t Make��-��s't
Pilot Model - _-_. Smoke Bomb : --_ Wiring
Pilot Timing ' ---- Draft - _ _Test Tag— 7t AM
L.W. Cut Off Door Pressure L�/ —Lighting Inst.
Pressure - Percent CO2 Date Tested ____ ___t r
Input CFH _ r �__ Percent 02 Company Testing
Stack Temp. _- Percent CO Name of Tester
Form 235