HomeMy WebLinkAbout1980-12-11 House Heating Test RecordADDRESS X4:2
OCCUPANT _
HEAT LOSS
SOLD BY
Electrical Work By
TYPE OF HEAT
HOUSE HEATING TEST RECORD
DATE HTG. INST.
GA FA HW A____ STEAM
APT. FLOOR CITY I___ -c' SUBURB
OWN ERM A� a? 2S2-0
—INSTALLED BY 4'e%tYrAse /Y%_�______
— Gas Line By
SPACE HTR. UNIT HTR. OTHER( 1�- -
GAS DESIGN CONVERSION
MAKE —.MAKE OF BURNER
Model Model _ iL 5 -
Soria I
—Serial Max. BTU Rating
INPUT MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT Heat Plug Vent Size
Volvo KIND OF LINEfj S���h lell SIZE ' NONE -
Limit Draft Hood G/1'Y/c�1I -_ Regularor
Limit Setting Filters Size Number—
Fan Setting Chimney Location Insidey Outside
Pilot Type Chimney Construction
Pilot Make
Pilot Model Smoke Bomb Wiring _
Pilot Timing :t Z k Test Tag --
L.W. Cut Off Door Pressure Lighting Inst.
ressure z0 • _> Percent CO2�- Date Tested
Input CFH Zca,oco Percent 02 /Company Tes
Stack Temp. — /nO Percent CO Z11 IQ Name of Test
Form 235