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HomeMy WebLinkAbout1981-07-24 House Heating Test Record- - '1 ADDRESS _L OCCUPANT HEAT LOS SOLD I Electrical Work By TYPE OF HEAT MAKE Model Soria I INPUT THERMOST� Volvo Limit Limit Setting Fan Setting _ Pilot Type _ Pilot Make _ Pilot Model Pilot Timing L.W. Cut Off C;F''-' u - c, 40ATE HT GA HOUSE -HEATING TEST RECORD�/� APT. B CITY OWNER SUBURB �- nr' INSTALLED BY i1zL_ Gas Line By _FA HW STEAM SPACE HTR. UNIT HTR. OTHER — GAS DESIGN j4 CONTROLS CONVERSION ►KE OF BURNER _ del x. BTU Rating — ►KE OF FURNACE Model Vent Size _ KIND OF LINER L�Z�1� SIZE NONL Draft Hood Regulator Fi Iters Size Number Chimney Location Ii I� tside Chimney Construction V •2241 Smoke Bo ib Wiring Draft Test Tag Door Pressure Lighting Inst. I� Pressure Percent CO2 — — Date Tested Input CFH Percent 02 Company Tea Stack Temp. _ Percent CO Name of Test Form 235 `, HOUSE TING TEST RECORD IPt ADDRESS APT. FLO—CITY SUBURB atek4s, OCCUPANT OWNER HEAT LOSS HTG. SOLD BY 2D _ INSTALLED BY Electrical Work By Gas Line By — da2z,L1_ TYPE OF HEAT GA FA HW STEAM ___ _SPACE HTR. UNIT HTR. OTHER MAKE Model Soria I INPU1 CONTROLS THERMOST.%T Heat Plug Valve j�1r Limit / Limit Setting Fan Setting Pilot Type Pilot Make KE OF BURNER ,Jel tax. BTq,jpel ng— MAKE OF FURNACE Model 4r' Vent Size (!i KIND OF LINER CONVERSION SIZE —A NONE Draft Hood v Regulator Fi hers Size Nurr er Chimney Location I e 1' tside Chimney Construction .L.L Pilot Model Smoke Bomb —Wiring Pilot Timing l[, > Draft Test Tag L.W. Cut Off Door Pressure _ _ Lighting Inst. Pressure Percent CO Date Tested Input CFH Percent 02— Company Testing Stack Temp. Percent CO Name of Tester _ Form 235 ADDRESS L s V-..) OCCUPANT HEAT LOSS SOLD BY Electrical Work By TYPE OF HEAT GA THERMOSTA Valve Limit Limit Setting Fan Setting _ Pilot Type _ Pilot Make — Pilot Model _ Pilot Timing L.W. Cut Off 40 Pressure �.. Input CFH — Stock Temp. . Form 235 HTG..INS CONTROLS — Heat Plug Percent CO2 — Percent 0 2— Percent CO H US -HE TING TEST RECORD —APT. F CITY SUBURB OWNER INSTALLED BY Gas Line By STEAM --SPACE HTR. _ UNIT HTR. OTHER CONVERSION MAKE OF BURNER Model Max. BTU Rating MAKE OF FURNACE Model Vent Size 7 / KIND OF LINER Draft Hood Fi Iters Size — Chimney Location Chimney Construction Smoke Bomb Draft . CT�_ Door Pressure Date Tested Company Testing —.o,, Name of Tester Regularor —Number Wiring .Test Tag Lighting Inst.