Laserfiche WebLink
ADDRESS <br />OCCUPANT <br />HEAT LOSS <br />SOLD BY <br />HOUSE HEATING TEST RECORD <br />/ 77^-APT. <br />.OWNER <br />FLOOR_____ <br />yr <br />CITY __SUBURB 0. C^L l O <br />/7)J i rr- <br />................ty^TE HTG3 INST. _____^------------ <br />trry^r’/ <br />EUctrical Work By <br />TYPE OF HEAT <br />INSTALLED BY <br />Gos Lino By___ <br />A yrjr .rP^ ^ /?0>y7 <br />FA l^Wtt_____STEAM______SPACE HTR..UNIT HTR..OTHER <br />MAKE <br />Modol . <br />Soriol <br />AAS DESIGN <br />rcy//c^A <br />(Vn/^ /Dnc 7 <br />INPUT yz/ ^ ^ A) oc) <br />THERMOSTA <br />Volvo ___ <br />Limit <br />Limit Sotting <br />Fan Sotting _ <br />Pilot Typo — <br />Pilot Moko — <br />Pilot Modol - <br />OLS <br />ot Plug / <br />a’o /Z_ <br />'do ■''''^^1y/ ..p c . <br />Pilot Timing <br />L.W. Cut Off <br />VV ^ ^ . <br />Prosturo. <br />Input CFH./ nc> <br />.Porcont CO. <br />Stock Tomp. <br />Form 235 <br />51 <br />a£L <br />MAKE OF BURNER <br />Modol---------------------- <br />CONVERSION <br />Max. BTU Rating <br />MAKE OF FURNACE <br />Model ______________ <br />// <br />Vent Sixo <br />KIND OF LIN <br />Draft Hood <br />Fitter* Sixo <br />AH <br />Chimney Location trisido Z/Z <br />__Regulator <br />SIZE.NONE. <br />NumI <br />Chimney Construction <br />Itiside.XX^tS./7/-.Outside <br />_Smoke Bom^iomk -— <br />„ Draft <br />— Door Pressure. <br />.Wiring <br />Tog. <br />-------7— <br />_Date Tested <br />.Lighting Inst. <br />. Percent Og M/' j. - <br />Percent CO <br />Company Testing <br />Nome of Tester _f/iJL