HomeMy WebLinkAbout1993-12-01 House Heating Test Recordr".VA rr* �-7 r 3
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ADDRESS % o ,S
OCCUPANT —
HEAT LOSS
TOLD BY
Electrical Work By
TYPE OF HEAT GA
DATE HTG. INST.
FA HW
USE HEATING TEST RECORD
APT. FLOOR CITY
OWNER
INSTALLED 13Y
Gas Line By
STEAM —__ SPACE HTR. UNIT HTR. OTHER
yj (�AS DESIGN
MAKE 40V1k _ MAKE OF BURNER
MOM
Mo_1 _ Modol _
Seriel q or Max. BTU Rating —
INPUT �. _ MAKE OF FURNACE
THERMOSTAT
Volvo
Limit
Limit Setting
Fen Setting —
Pilot Type —
Pilot Make
CONTROLS
t Plw
Model
CONV E RSION
SUBURB 6 dq d
i'
Vent Size
KIND OF LIN — SIZE E
Draft Hood Regulator
Filters Size —
Chimney Location Inside Outside
Chimney Construction Ov L74LI
Pilot Model Smoke Bomb __ — wiring /L
Pilot Timing —1L C Droft ——Test Tog
L.W. Cut Off — Door Pressure . Lichtina Inst.
Pressure — Percent CO2 — Date Tested —
input CFH_ ` Percent 02 Company iestinp
Stock Temp. Percent CO Nome of I a I;:-
Form 23S