HomeMy WebLinkAbout1994-08-08 House HeatingTest RecordADDRESS
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USE HEATING TEST RECORD
APT. F
CITY SUBURB
# 707
C,0oKo
OCCUPANT — OWNXIk! a
HEAT LOSS DATE HTG. INST. i
SOLD BY I N S T A L f s�9 t
Electrical Work By ___�irf0 By
TYPE OF HEAT GA FA HW STEAM -- SPACE! .UNIT HTR. OTHER
Y GAS D SIGN �.'t CONVERSION
MAKE MAKE OF BURNER
Model Model . --
Serial Max. BTU Rating
INPUT �/ ► L MAKE OF FURNACE
Model _--_--
THERMOSTAT
Volvo
Limit
Limit Setting _
Fan Setting
Pilot Type —
Pilot Make
CONTROLS
r' 101 - Heat PLua -
Pilot Model
Pilot Timing
Vent Size __ a
KIND OF LINER SIZE wwjj N
Draft Hood _ ' , Regularor
Filters Size Number
Chimney Location Inside x Outside
tl
Chimney Construction
Smoke Bomb — Wiring
Draft ____— — Test Tag
L.W. Cut Off '— -- Door Pressure --- Lighting Inst. l�
Pressure ��--- Percort CO2 / hate Tested
Input CFH Percent 02 — — Company Testing
Stock Temp. _— -- Percent CO --1 dame of Tester -
Form 235