Laserfiche WebLink
ADDRESS /.I <br />OCCUPANT <br />HEAT LOSS <br />SOLD BY_Z <br />Electrical Work By <br />TYPE OF HEAT <br />MAKE <br />Model <br />Soria I <br />INPU1 <br />•REV. <br />Fir <br />GA FA A"00' HW STEAM <br />TEST RECORD <br />APT. _ <br />OWNER <br />FLOOR CITY SUBURB <br />—INSTALLED BY z2,," -L__ <br />—Gas Line By lfg�, 4 <br />SPACE HTR. UNIT HTR. OTHER <br />MAKE OF BURNER <br />Model <br />Max. BTU Rating <br />MAKE OF FURNACE <br />Model _ <br />CONTROLS <br />THERMOS T — Heat Plug Vent Size <br />Valve/917-4 KIND OF LINER. <br />L' <br />CONVERSION <br />— SIZE Z NONE <br />emitDraft <br />Hood V <br />Regulator <br />Limit Setting <br />Fi Iters Size <br />_N�ynber <br />Fan Setting <br />Chimney Location <br />InaAde ` 'Out -40 <br />Pilot Type <br />Chimney Construction <br />�,�t f � <br />�' (_� .s[L <br />Pilot Make <br />Pilot Model <br />Smoke Bon <br />Wiring ' <br />Pilot Timing —� ��✓ <br />Draft IlrTest <br />Tag <br />L.W. Cut Off <br />Door Pressure <br />Liahtina Inst. <br />Pressure '_J0 Percent CO2 Date Tested <br />Input CFH Percent 02 Company Tes <br />Stack Temp. J XV Percent CO L1 Name of Test <br />Form 235 <br />