HomeMy WebLinkAbout1986-09-25 House Heating Test RecordH OUST
ADDRESS
--— -____
OCCUPANT _---.-- _ __----
HEAT LOS
TE TGyi�/6T.
SOLD BY _-- --�_-
Electrical Work By
TYPE OF HEAT GA _____ FA . W
GAS DESIGN
MAKE
Model .
Soria I .
INPUT
EATING TEST RECORD (: � C' XAPT. FL CITY SUBURB(„!%T'_
OWNER_ --
STEAM _
INSTALLED BY
Gus Line By
SPACE HTR. UNIT HTR. ---OTHER
CONVERSION
MAKE OF BURNER
Model - . ___"_ ._ _
__.. Max. BTU Rating
MAKE OF FURNACE
Model
Av&&ZHeaf
NTROLS
THERMO-Plug
Valve
Limit
Limit Setting-�.!'�--
Fen Setting 0_�_
Pilot Type
Pilot Make
Pilot Model
Pilot Timing __... _�..
L.W. Cut Oft
Pressure a. �r 'I Percent CO2 _ey Input CFH ' Percent 02
Stack Temp. _ `�-�-— Percent CO Q-
Form 235
Vent Size _._�
KIND OF LINER � itJ --- SI7.E NONE
Draft Hood wRegularor
F:Iter s NuN
Chimney i. oc,7tion
Chininey Construction
Smoke B m —._--- Wiring _-
Draft (X Test Tog _
Door Pressure Lighting Inst. —
Date Tested
Company Testing
Name of Tester
�f y ` / HO SE HEATING TEST RECORD C C� y
AODRFSi v U 0 '/✓ i ;AV, APT. FL __CITY G _ SUBURB C.1•�?_
OCCUPRN i OWNER �_ _J_—
HEAT LO ATE T ST. _
SOLD BY _. INSTALLED BY
Electrical Wo►k By —-------- - ----_- - Gas Line By
TYPEOF HEAT GA __ FA _ _ HW STEAM SPACE HTR. UNIT HTR. J- OTHER
GAS DESIGN
MAKE
Model
Ser i a 1 .
INPUT
MAKE OF BURNER
Model
Max. BTU Rating
MAKE OF FURNACE
Model
CONVERSION
CONTROLS �
THERMOSTAT 14
_ Heat Plug _ Vent Size_
Volvo __. -- _ _ - ---_ KIND OF LINER SIZE_
__ .
Limit cZ�__—_ . _` Draft Hood Regularor
Limit Salting __. Filters Size N ber
Fan Setting Chimney Location Ins d %/ - ._- l .0 'de
Pilot Type Chimney Construction _ ..f�i�✓
Pilot Make
Pilot Model —
Pilot Timing
L.W. Cut Off
Pressure ys r Percent CO2 S _
Input CFH Percent 02 D �_.
Stuck Temp. Percent CO d
Form 235
Smoke Bq b _ - Wiring
Draft �/} -----__-_-- Test Tag fir.
Door Pressure _ - Lighting Inst4jo
Date Tested
Company Testing)
Name of Tester
N CAN F