HomeMy WebLinkAbout1981-02-14 House Heating Test RecordADDRE:''r-
OCCUPANT
HEAT LOSS
SOLD BY
Electrical Work By
TYPE OF HEAT
MAKE
Model
Soria I
INPUT
HnI1_i
HEATING TEST RECORD :,,t x/0 -3 -
�A HTjG ST.
GA FA 1. HW A —STEAM
APT. FLOOR — :ITY
OWNER
SUBURB
— INSTALLED BY �l✓iiz.� __--__
_ Gas Line By ,t
SPACE HTR. UNIT HTR. __OTHER
MAKE OF BURNER _
Model
Max. BTU Rating —
MAKE OF FURNACE
Model
CONVERSION
Form 235
CONTROLS
THERMO T
Heat Plug _
Vent Size -k---
Volvo
KIND OF LINER
SIZE�_NONE -
Limit
Draft Hood ✓
Regulator
Limit Setting
Filters Size
Number
Fan Setting —
!�A
Chimney Location
n de f utside
Pilot Type
Chimney Construction
Pilot Make
L
Pilot Model
Smoke Bomb
Wiring
Pilot Timing ___,
��f''��"
Draft
Test Tog
L.W. Cut Off
Door Pressure
Lighting Inst. A
LIJ
Pressure
Percent CO2
Date Tested
Input CFH
Percent 02Y,4
Company Testing
Stuck Temp.
a
Percent CO L-�
Name of Tester
Form 235