HomeMy WebLinkAbout1982-01-08 House Heating Test RecordHOUSE HEATING TEST RECORD
ADDRESS 1CLle �f�Lr,eQN ? APT. FLOOR CITR7&—) SUBURB
71161160�
OCCUPANT #L_�
HEAT LOSS
DATE HTG. INST.
OWNER _
SOLD BY INSTALLED BY fZ
Electrical Work By Gas Line By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
G S DE
MAKE MAKE OF BURNER
Sof Model Model
1OI Max. BTU Rating
INPUT MAKE OF FURNACE _
CONTROLS
THERMOSTAT + Heat PIL
Valve
Limit
Limit Setting
Fan Setting _
Pilot Type _
Pilot Make —
Pilot Model
Pilot Timing SOr�
L.W. Cut Off
Model
Vent Size
CONVERSION
KIND OF LINER SIZE NONE
Draft Hood _ Regularor
Filters Size 1Z_�j,_Number
Chimney Location Inside Outs' e
Chimney Construction /i1P< S'
Smoke Bomb Wiring
Draft o Test Tag
DP
offoor ressure i hting Inst.
Pressure Percent CO2 • OnDate Tested
Input CFH Percent 02 7• ?• I Company Testing
Stack Temp. Percent CO Name of Tester _
Form 235