HomeMy WebLinkAbout1980-02-05 House Heating Test RecordADDRESS
EATING TEST RECORD 10_11410`
APT. FLOOR CITY
SUBURB
OCCUPANT�L� �_��'��X�� OWNER —
I' HEAT LOSS� TG.P
SOLD BYJ7INSTALLED BY
Electrical Work By Gas Line By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. _ UNIT HTR_ eTNER
MAKE
Model
Soria I
INPUT
CONTROLS
THERMOS T Hoot Plug
Valve
Limit _
Limit Settwq
Fan Setting
Pilot Type
Pilot U. I..
MAKE OF BURNER
Model
Max. BTU Rating —
MAKE OF FURNACE
Model
Vent Size rt
KIND OF LINER
CONVERSION
SIZE _/ _'L NONE
Draft Hood " Reguloror
Filters Size I�Alber
T Chimney Location Outside
Com— Chimney Construction ���
Pilot Model Smoke Bomb I x Wiring de
Pilot Timil Draft Test Tap 110
L.W. Cut Off — Door Pressure Lighting Inst.
Pressure 3 7 _f Percent CO2 Date Tested °t —
Input CFH Percent OZ Company Testing
Stock Temp.'07Percent CO io Name of Tester r
F orm 235