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HomeMy WebLinkAbout1980-03-21 House Heating Test RecordHOUSE HEATING TEST RECORD W krl2 # / ADDRESS APT. LOOR ..SUBURB OCCUPANT OWNER ems— ���. HEAT LOSS T HTG. INS �t SOLD BY �, �,L INSTALLED BY _tb((V t1d- Electrical Work By —Gas Line By-.-I-litilw4 TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE _ MAKE OF BURNER Model Model Serial Max. BTU Rating INPUT MAKE OF FURNACE Model CONTROLS THERMOST Heat Plug Vent Size Valve KIND OF LINER- 4SIZE NONE Limit jr W_Draft Hood Regulator Limit Setting— Filters Size ber Fan Setting 1 Chimney Location Ins* Outside Pilot Type Chimney Construction t, Pilot Make Pilot Model Smoke B b _Wiring AJ Pilot Timing ,Q..Q.(_ Draft � Test Toq L.W. Cut Off Door Pressure-. Lighting Inst. 4 Pressure_3 T Percent CO2 Date Tested /;Tj Of Input CFH Percent 02 Company Tasting Stack Temp. Percent CO Name of Tester Form 235 HOUSE HEATING TEST RECORD ADDRESS y1 J� GOAPT. FLOOR I SUB . OCCUPANT OWN E HEAT LOSS ATE TG.¢T. SOLD BY (-� INSTALLED BY 4�A1-" Electrical Work By Gas Line By t 4� EAT GA FA 1GHW STEAM SPACE HTR. UNIT HTR. —OTHER.- IT r-r- OF H GAS DESIGN MAKE MAKE OF BURNER Model Model Serial Max. BTU Rating INPUTAT MAKE OF FURNACE — Model _ CONVERSION CONTROLS THERMOS T Heat Plug Vent Size (p - SIZE NONE Volvo KIND OF LINER Limit A. --Draft Hood / Regulator Limit Setting C/O Filters Size_— Nun "r Fan Setting Q Chimney Location I idsOutside ir— Pilot Type �iJ Chimney Construction liz Pilot Make Pilot Model _Smoke Bo b Wiring Pilot Timing `S Draft — Test Tog L.W. Cut Off - - Ono► Pressure —Lighting lnst.�E� Pressure CO2 --T— Date Tested CFH �—Percent Percent 02 J Company Testing Input Stock Tem- Percent CO or . Name of Tester Form 235 ADDRESS -- OCCUPANT _ HEAT L0 R& USE HEATING TEST RECORD APT. FLOOR OWNER SOLD BY mac.. Y - INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER MAKE Model Soria INPU1 THERMOST,� Valve —� Limit —� Limit Setting Fan Setting _ Pilot Type _ CONTROLS .4m Heat Plug MAKE OF BURNER _ Model Max. BTU Rating — MAKE OF FURNACE Model 11 Vent Size __ 9 KIND OF LINER — Draft Hood CONVERSION Regulator _ SUB Filters Size NIAMber Chimney Location Outside Chimney Construction 1 d Z&-- Pi lot Make Pilot Model Smoke Bo b Wiring Pilot TimDraft Test Tag L.W. Cut Off Door Pressure Lighting Inst. Pressure 17 Percent CO Date Tested — Input CFH Percent 02 Company Testing Stack Temp. Percent CO Name of Tester NONE 3 Form 235