HomeMy WebLinkAbout1985-01-14 House Heating Test Record Pg1lop
ADDRESS
OCCUPANT
HEAT LO�
SOLD BY.
Electrical Work
TYPE OF HEAT
HOUSE HEATING 1 EST RECORD
--APT. _ FLOOR--_ CITY(_1'• A t)(• SUBURB_Vd_ --
�. _._OWNER_ •� ., —
DATE HTG. INST._ ____ 4' `� iL _ .—GAS CO. METER..B GE # --- —
�^' C.vn). INSTALLED BY �.:...r.,
By ri)_ �(rL t C k 1JX _ _ ---Gas line By_
GA— FA1e-- HW STEAM - SPACE HTR. . UNIT HTR. OTHER____ _.
GAS DESIGN
MAKE �APV a J4. MAKE OF BURNER
Model G /J..o LAV>i_ —__ _ Model
Serial Max. BTU Rating
INPUT «------- MANE OF FURNACE
Model
CONTROLS
CONVERSION
THERMOSTAT
Heat Plug._ • 3� _... - -__Vent Size - --
SIZE NON
Volvo—
OF LINER
_ _ __
Limit
—__—_--Draft HoodPi-e
egulator
Limit Setting
�__ —_ __Filters
—__ Number -2
umber 2fon
fanSettin `" +' /
- -r---- -- -----Chimney location
Inside-._ __ae._' Outside
AW
Pilot Type_
_ __ _—Chimney Construction____—.—
_
Pilot Make-
---
Pilot Mode
_ ___Smoke Bom
P_
_.. Wiring -----
Pilot liming
—.—_ .Draft___
Test To-
L.W. Cut Off __
—_— _ _ ___Door Pressure- _---____
---Lighting Inst. _—
Prewwre —
Percent CO2. �• Date Tested:—
%
-'
Input CFM dolk,41
Percent 02 —Company Testing.___
Stack Temp.
Percent CO _ d —Name of Tester