1979-01-23 House Heating Test Record

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ADDRESS OCCUPANT -J HEAT L.53 SOLD BY Electrical Work I TYPE OF HEAT HOUSE_ UEATING TEST RECORD AP T. _ OWNER FLOOR Clrr SUBURB 4;14:�— INSTALLED B Gas Line By _ SPACE HTR GAS DE MAKE MAKE OF BURNER _ Model t Model Serial ' Max. BTU Rating — INPUT MAKE OF FURNACE Model UNIT HTR. OTHER CONVERSION CONTROLS THERMOSTAT I' H lug Vent Size t Volvo KIND OF LINER ' 4 SIZE NONE Limit r Draft Hood _ Regularor Limit Setting Filters Size Number Fan Setting Chimney Location Inside Outside ' 1� � P Pilot Type ; �2.[.fc4L¢ Chimney Construction Pilot Make -A-ZA_ - n Pilot Model _ Smoke Bomb hiring Pilot Timing _ �1 Cv,4Draft go Test Tag L.W. Cut Off Door Pressure Ljjhting Inst. on OL 'Pressure 1-''ercont CO, SK Date Tasted Input CF~ _/— 'Mcent 02 Company Tasting Stock Temp.' ... Percent CO C-' Nome of Tester Farm 2115 RM ADDRESS _.L OCCUPANT HEAT LOSS SOLD BY Electrical Work By TYPE OF HEAT HOUSE HEATING TEST RECORD r, APT. FLOOR OWNER — INSTALI ED BY Gas Lir ACE H . GAS DESIGN MAKE KE OF BURNER _ Model ' — 'Adel SerioI ' _ Max. BTU Rating — INPUT — MAKE OF FURNACE Model _ THERMOST� Volvo —� Limit Limit Setting Fan Setting _ Pilot Type _ Pilot Make CONTROLS Heat Plug CITY SUBURB —UNIT HTR. OTHER CONVERSION /r Vent Size r— ---- KIND OF LINER SIZE ONE Draft Hood Rogulo.or Fibers Size Number Chimney Location Inside lido Chimney Construction -4 4�� r -t e Pilot Model Smoke Bomb Wiring Pilot Timing � to -'L Draft ' Test Tag L.W. Cut Off _ Door Pressure Lighting Inst. Pressure Percent CO -1-�- Date Tested Input CFH Percent 02— Company Testing _ Stock Temp. Percent CO ��) Name of Tester Party 235