HomeMy WebLinkAbout1983-09-12 House Heating Test RecordHOUSE HEATING TEST RECORD
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ADDRESS 45-6 0
-_APT. FLOOR_— CITY SUBURB_'C,
OCCUPANT 1860 Pax
St. LI -Id tl tx ConstOWNER
HEAT LOSS
k TG. CO. METER BADGE # _—
SOLD BY hU' J1
�.� INSTALLED BY ddkdA.�kGJC1l%�
Electrical Work By
SNYllIri ^LECT Gas line By_
TYPE OF HEAT GA_ FA
HW STEAM_- SPACE HTR._ UNIT HTR.-- OTHER —
GAS DESIGN CONVERSION
MAKE G /:L -0 .2 L's
`�$ MAKE OF BURNER
Model
_--Model
Serial .' ,,72-
/ o _-__._________Max. BTU Rating_ --
INPUT ` 1d /`1
_ MAKE OF FURNACE ----
Model - -
CONTROLS
THERMOST T rC-76_
Heat Plug C —Vent Size -
Valve
-__KIND OF LINER SIZE NON
Limit
Draft Hood Regulator
Limit Setting Z C
Filters ize Number_
Fan Setting /
Chimney Location insiclq Outside 11;X1
Pilot Type
Chimney Construction
Pilot Make.Make
Pilot Model
Borrl_�
Smok�Tj�
Pilot Timing
U G
D afte Test Tag_
L.W. Cut Off
r
Door Pressure —_Lighting Inst.
Pressure '� !
Percent CO2 Date Tested T - L _
Input CFH —
Percent 02 -Company Testing
Stack Temp. �Z��
Percent CO —�_ Name of Tester
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HOUSE HEATING TEST RECORD O�O/YO
ADDRESS- ���
—APT._. _FLOOR_._ CITY SUBURB_ =
OCCUPANT_ McIdu1 ty Con�-,t ------OWNER---
� .
HEAT LOSS DATE HTG. INST. Q //,2 / 2 ---GAS CO. METER BADGE #
SOLD BY_ CHUNT;-iUr"6 �
Electrical Work By--_i YDL,n --INSTALLED L BY- - --- S
TYPE OF HEAT GA_ FA�� HW__, STEAM—__ SPACE HTR._ --y.. UNIT HTR._ OTHER_
GAS DESIGN CONVERSi ON
MAKE
h ___.- _MAKE OF BURNER_
-
--
Model_ !�
�d _.Model—
---------.Model--
-__-
Serial
_- _
--__Max. BTU Rating
INPUT
-- _ _ _ _-MAKE OF FURNACE
-------
Model
---- - --
CONTROLS
THERMOST T He Plug 3 r -� Vent Size_
Valve - r
- - KIND OF LINE
L---_-_
NONE -
Limit_ L�
Draft Hood
v
Regulator
Limit Setting-
_ Filters ize
_ Number-_
Fan Setting._._.
Chimney location
Pilot Type_
_ Chimney Construction_
'c,-A.,
Pilot Make
Pilot Model
Smoke Bomb
Wiring V At
Pilot Timing-_
Draft (� -
Test Tag
Of
L.W. Cut f_
_ Door Pressure
_
Lighting Inst 0 --
Pressure_.__ ' Percent CO2 ate Tested l - Z
_
Input CFH-- b
T_. Percent 02 --- Company Testing
Stack Temp.
Percent CO ('---Name of Tester
ADDRESS J-�
OCCUPANT ueN
HEAT LOSS DATE HTG. INST.
SOLD BY CHO VSTiWhs
Electrical Work By siiyl)hr
TYPE OF HEAT GA__ FA,,-'S- HW__
GAS DESIGN
HOUSE HEATING TEST RECORD
STEAM—_
12
.7 7��y
mrQon/o
__APT. ^_ FLOOR CITY SUBURB X
OWNER
GAS CO. METER BADGE #
INSTALLED BY'O.v-�Y�?e%S�
Gas Line By_—.
SPACE HTR. UNIT HTR. OTHER
MAKE --.---.---MAKE
---___MAKE OF
Model Q / Z 2 17 4E
Serial L141 __-Max..BTU
INPUT MAKE OF
Model_
CONVERSION
BURNER
Rating---- --- -- --
FURNACE_______ _
CONTROLS
THERMOST - eat Plug A e� _—Vent Size_._._
Valve -----.KIND OF LINER— SIZE NObI
Limit _Draft Hood Regulator
Limit Setting �� v _ -__Filters ze Number
Fan Setting ____Chimney Location Inside_. Outside
Pilot Type _ Chimney Construction -
Pilot Make��..�--
Pilot Model Smoke Bomb Wiring--C'>'.
Pilot Timing Draft_ (1 Test Tag �i
L.W. Cut Off --------Door Pressure_ Lighting Inst.
Pressure_ S, — Percent CO2 'ZDate Tested_ y - �2- -•S
Input CFH_ _ Percent 02 Company Testing y -
Stack Temp. Percent CO j!�� _Name of Tester