4383 Capricorn Ct - House Heating Test Record
HOUSE H/E,AfTING TEST RECORD
ADDRESS OCCUPANT APT. FLOOR C1'TY SUIJURB
BEAT LOSS OWNER
DA~T ' J''~ TO. INST.
`SOLD 8Y ~7.7_ f: !
E1~stticel work ay INSTALLED BY
-
TYPE OF NEAT GA PA Gana Lino By
HW STEAM SPACE HTR. UNIT HTR. -OTHER
GAS DESIGN CONVERSION
MARE
Model MAKE OF BURNER
Serial Model
Max. ETU Rating
INPUT MAKE OF FURNACE
Model. CONTROLS
THERMOSTAT Heat Plug Wnt Sit*
Volre KIND OF LINER-- SIZE .NONE'
Limit Draft Hood Reguleres
Limit Setting Filters Sise umber
Fan Setting Chimney Location tmtde ttutaide w_
Pilot Type Chimney Construction -
Pilot Make
Pilot Model
Smoke Bomb, ~Wiriny
Pilot Tithing 'Dtoft T*st Tay
L.W. Cut Off Door Pressure ~1~hting Inst.
Pressure Percent COZ Date Tested r
Irpdt CPH Poreent O
Q Ebmporir Testing -
Stock Temp. Percent CO Name of Tower - " 41
Form 235