HomeMy WebLinkAbout1980-02-18 House Heating Test RecordADDRESS 7 Gam'
OCCUPANT
HEAT LOSS
SOLD BY '/7-01
Elec)rical Work By
TYPE OF HEAT
MAKE
Mode
Soria I
INPUT
HOUSE HEATING TEST RECORD
DATE HTG. INST.
GA FA HW STEAM
APT. FLOOR � CITY
OWNER /I— —_
SUBURB
-- INSTALLED BY
Gas Line By _�—__--
SPACE HTR. UNIJ HTR.—__OTHE ___.__
MAKE OF BURNER —_
Model —_
Max. BTU Rating —_
MAKE OF FURNACE —
Model _� _
CONVERSION
CONtROLS
THERMOSTAT''` Heotplug
Vent Size
Valve - .t /
—
KIND OF LINER
"� —_ SIZE —NONE
Limit __
Drcit Hood
Regulator
Limit Setting G y
Fi Iters Size
Ntimhar
Fan Setting
Chimney Location Insi
, f Oysside
Pilot Type
Chimney Construction
—
Pilot Make
-d0
Pilot Model V IF
-76T
Smoke Bomb
Wiring
Pilot Timing Q p ss 22 'C
Daft
—Test Tag
—
L.W. Cut Off "r
Door Pressure— —
Lighting Inst.
Pressure Percent CO2
— Q
Date Tested /"
4
Input CFH Percent 02
Company Testing
Stock Temp. ,�Q�Q Percent CO
Nome of Tester
Form 235