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.