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Home My WebLink About1989-02-22 House Heating Test RecordP & D MECHANICAL CONTRACTOR HOUSE HEATING TEST RECORD ADDRESS << ts,;.,A, VD(r_' cu S T CITY OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA FA -."L HW STEAM SPACE HTR. UNIT HTR. GAS DESIGN MAKE , 4. MAKE OF BURNER Model �- Pni c CCjL1. L_ r , Model Serial 1 L D 1 Max. BTU Rating INPUT MAKE OF FURNACE IRA Model MW CONTROLS THE RMOSTAT � x Heat Plug Valve — Limit _- ----- _--- -- _ _ Limit Setting _ Fan Setting ---____-- Pilot Type_ — — Pilot Make ---______ _�._---- Pilot Model Pilot Timing_— L.W. Cut Off -- - -- - - -- -- Pressure I,.'-Ve Percent CO2 C1 Input CFH Percent O _L _q 2 Stack" �-��' Percent COy 2C 9a /to I / Vent Size %% KIND OF LINER SIZE NONE Daft Hood Regulator Filters Size Number Chimney Location Inside— Outside Chimney Construction Smoke,Bomb _ _ Wiring / Draft 1—cAs, t t-;L Test Tell L -- Door Pressure Lighting Inet. l- Date Tested R_ Company Testing Name of Tester — A' �- Form 235 P S D MECHANICAL CONTRACTOR HOUSE HEATING TEST RECORD ADDRESS c i2�, �t , .� �..� , L� ....JS CITY'' OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Electrical Work By Gas Line By TYPE OP MEAT GA FA_. HW STEAM— SPACE HTR..UNIT HTR. nA& DESIGN MAKE 1 Model l % 6 C; S Serial INPUT ��,� � CONTROLS THERMOSTAT Heat Plug Valve Limit — --- -- ---- Limit Setting Fan Setting - - --- --- Pilot Type.—`4 Pilot Make - ---- Pilot Model - Pilot Timing L.W. Cut Off _ --- ---- - ---- MAKE OF BURNER JLJ " Model _ Max. BTU Rating MAKE OF FURNACE Model RSION Vent Size s KIND OF LINER SIZE NONEI —_ Draft Hood _ —. - . — Regulator Filters ' � _ . Number -- Chimney Loca:-,. Isi& Outside Chimney Court _. Smoke Bomb Wirins Draft Test Tag of ___-- Door Pressure Lighting Imt. Pressure 3 (7 .. Percent COZ Date Tested _)' - ' W �5 • b Input CFH. IL2c" C ` ' Percent Oz Company Testing Q �t y Stack Temp. y )-<, Percent CO Name of Tester 17 4, Form 235 P & D MECHANICAL CONTRACTOR HOUSE HEATING TEST RECORD ADDRESS /1t ,tt ��c� 1L Cam.. . �1 CITY — OCCUPANT HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Electrical Work By Gas Line By L L= " , TYPE OF HEAT GA� FA HW, STEAM SPACE HTR.—UNIT HT LLOTHER OAS DESIGN dp VRpicio L— MAlKE L MAKE OF BURNER El Malty �l - b L lh- — S C' - Model Serial Max. BTU Rating INPUT E-2. ct�n MAKE OF FURNACE Model l , I� CONTROLS THERMOSTAT Most Plug Vent Size Valve Limit Limit Setting Fen Setting ----- Pilot Type !�C/'^-u— -- - Pilot Make -------- — Pilot Model --- Pilot Timing_— L.W. C��• ns� - ---------------- Presu PercentCOZ • << Input e. r' C% Percent 02.— Stack Temp. 2M Percent CO KIND OF LINER I SIZE NONE Draft Hood Regulator Filters Size Number Chimney Location Inside Oubide Chimney Construction Smoke Bomb Wiring Draft 0 t -- Test Tag Door Pressure Lighting Inst. Date Tested Company Testing Name of Tester _ For:" 235 P E D MECHANICAL CONTRACTOR HOUSE HEATING TEST RECORD ADDRESS 1 'i. \ • , s CITY0!1"47 OCCUPANT OWNER HEAT LOU DATE HTG. INST. SOLO BY INSTALLED BY Ektatrieal Work By On Line By TYPE OF MEAT GA_ FA HW— STEAM_ SPACE HTR._UNiT HTR._OTNEA GAS DESIGN ......, w w . r%. MAKE L cj%%-cox Model G1 b L11% - YO - C Serial S it g 6-1c iy ci j 7 _ INPUT � = cx) J CONTROLS THE RMOSTAT Heat" Valve Limit Limit Setting Fan Setting Pilot Type S� FMot Make Pilot Model PNot Timing L.W. Cut Off -- . Pressure Percent a CO2 7 L► Input CFH- o _.,.� Percent O Stack Temp. � I i, _ Perm! rOt10 MAKE OF BURNER Model Max. BTU Rating _ MAKE OF FURNACE - Model Vent Silt ��.- ---- KIND OF LINER SIZE_ NONE______ Draft Hood _ _ Relator Filters fin _ Number. Chimney Location .w Outside Chimney Comtruevw ._ . Smok@�Bomb Wiring Orate _� A L V— t • Test Tag Door Pressure Lighting Intel Date Tested _ Company Testing L& J Name of Tester --- -3 �'� Form 235 P & D MECHANICAL CONTRACTOR HOUSE HEATING TEST RECORD CITY C :)tier) `,� 4—� OOCUPANT OWNER HEAT I = I DATE HTG. INST. SOLD BY INSTALLED BY Elaetrieel work By an Line By TYPE OF MEAT GA_ FA.Y— Her..._ !TEAM_ SPACE HTR..UNIT HTR._OTHER GAS DESIGN r-*� R --I MAKE Serial.1 I7, INPUT ' ` f CONTROLS THERMAOSTAT Nest"" Valve Limit Limit Setting Fan fatting Filet Type aiL /Mot Male Pilot model Pilot Timing !&�`�� L.W. Cut ON Pnswre 3' Percent CO Input t CFH ` ` Percent Oc _ Stack Temp. Percent CO Max. BTU Rating � MAKE OF FURNACE —� Model Vent Sin KIND OF LINER I SIZE NON!_ Draft Hood Regulator Filter Sin Number Chimney Location Inside Outride Chimney Construction Smoke Wiring Draft Test Tag Door Pnmum Lighting Inst. Date Tested Company TestingNo" of of Tester A U Form = P b D MECHANICAL CONTRACTOR HOUSE HEATING TEST RECORD AODIIESS bra A �``,i C__�n�� X0 }L.� si CITY , OCCUPANT -OWNER HEAT LOSS DATE HTG. INST. $OLD BY INSTALLED BY ElKtric l Work By On Line By TYPE OF HEAT GA_ FA HW STEAM_._ SPACE HTR. UNIT OAS DESIGN MAKE INodal fir- viv c-c^ 4 Q ., t- cr s r �C Udd .-A. Y 1.,LAl'— � 3 INPUT _ '`. CONTROLS THERMOSTAT Heat Mug Vd" Limit---_ - Lin -it Setting Fan Setting --- _ - -- - - -- - PNot Type Pilot Make —_-- -_-- Pilot Model _ Pilot Tinting L.W. Cut Off Lt Pressure , S n Percent CO, . kww CFH Percent Oz Stack Temp. % 11 S Percent CO MAKE OF BURNER Model Max. BTU Rating MAKE OF FURNACE Model lJ r Vent Size I C2 KIND OF LINER SIZE NONE Draft Hood L ` ems— Regulator Filters Size Number Chimney Location Inside I Outside Chimney Construction Smoke Bomb Wiring J Drab -c h- Test Tag Door Pressure Lighting Inst. Date Tested Company Testing Name of Tester - I :u U Form 235 P 3 0 MECHANICAL CONTRACTOR HOUSE HEATING TFS' .O AOESS �1 t /i'1. Ll, �. t OA;s_ �-c • • `$, 00"ANT ._ E MEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Electrical Work By On Line By TYPE OF HEAT GA_. - ... HIB_., STEAM SPACE HTR. UNIT HTR.,!!�.OTHER_ GAS.QESION ------ MAKE MAKE OF BURNER Yell Lk,5 Ocr, / - .'LL en 4 C(_ triCc , L: lea%" Serial -7 Max. BTU Rating V INPUT -- 0 MAKE OF FURNACE CONTROLS , U U L._-- THERMOSTAT � I�' Heat Plug Vent Sine "� ,._ Val" _ _ KIND OF LINER SIZE_.-_ NONE Limit -_-----_-_-- -- -- Drett Hood R"Wa or Limit Setting Fan Setting PNot Type Pllot Make POW Model -- Pilot Timing �1 --- L.W. Cut OH-- Preswn 5 ' Pere Input CFH UC% Percen J2 Stack Temp. �' f Percent CO CCYO Filters Size Number Chimney Location Imide Outside Chimney Construction _ -- Smoke Bomb _ _ Wiring Draft _ -C&" t- -t,k Test Tag Door Pressure Lighting Inst. Aj— Dote Tested Company Testing Name of Tester -- Form 235