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2105 Cliff Rd - Heating Test Records 1.3 C?.:da..r C%Uf? HO SE HEATING TEST RECORD r ADDRESS- ' APT.-FLOOR CITY SUBURB OCCUPANT :/y.,;.^e _S Q?Lu-S OWNER ? HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Elechieal Work By Gos Line By TYPE OF ME.4T GA _ FA HW -STEAM _SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER Model ? b Model - Smial Max. BTU Ratinq INPUT MAKE OF FURNACE ' Model CONTROLS e1 THERMOS AT Heat Plu ? Vent Siza g Vulve ? KIND OF LINER SIZE NONE Limit s i' se-Vai-d e-c-0 Druf} Hood Regularor Limi} SeMinq ? 0 d - Filtars $ize Number Fon Sefting 4M Chimney Location IFqide 0utaida V, Pilot Type 4 Chimney Construction QVAbd -..A "` Pilot Make • Pilot Modsl Smoke Bom6 Wiring Pilot Timing Draft Test Tag Z?. . L.W. Cut Off ? - Door Pressure * Lightiny Inst. L? 31 Pressure 'S ParcentCO2- 7- Date Tssted -1 Input CFH Pereent OZ " Name of Tester Lic. #?? tZZ Smck Tamp. Peresnt CO BY: ADVA CED HEA ING & AIR CONDITIONING, INC. Form 235 HOUSE HEATING TEST RECORD .2ADDRESS 1aS ? _APT._FLOOR CITY SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Elschieal Work By Gas Line B y TYPE OF HEAT GA FA HW STEAM UNIT SPACE HTR HTR OTHER _ _ . - - . GAS DESIGN CONVE N MAKE ?. A_? - MAKE OF BURNER Model Model ' Sxial Max. BTU Rating INPUT"' ?? ? n MAKE OF FURNACE Model CONTROLS ? THERMOST L?. Haot Plug Vent Size Val,,e ??? s L C 0- KIND OF LINER SIZE NONE Limit 1.}'?-? DIS ?- Dmft Haod Regularor LimiT 5stting ... ?b D , Filters Size ? Nu Fan Sef}in Chimne Locatlan Insi Outs W - g ? y ? ? v ? ? Pilot Type V Chimney Construefion V ` .. - ? ?? Pilot Alaka Li/ Ilk ? Pilot Modsl $moke Bomb Wiring Pilot Timing DraFt Test Tag ? L.W. Cui Off Z T? - Door Pressuro Li hting Inst. P • D d ? ? T ' Pressure l? ercentCO2 ? aM este [y r CFF{ I Perce r O ? Name of Tester Lic. # npu n Z F--f-"` Sw<k Temp. - Percent CO $tlgL_- BY: ADVAN E HE ING & AIR CONDITIONIN , INC. Form 235 HOUSE HEATING TEST ADDRE55 ' APT. - OCCUPANT?/r ?j?]? ?h0t..a OWNER_ HEAT LOSS DATE HTG. INST. SOLD BY Elechical Work By TYPE OF HE.4T RECORD FLOOR CITY SUBURB INSTALLED BY Gos Line 8y GA _ FA _HW -STEAM -SPACE HTR. -UNIT HTR. __X_OTHER GAS DESIGN CO MAKE MAKE OF BURNER ?? Modal U d c^ ?.. Model $srial Max. BTU Rating INPU7' MAKE OF FURNACE • " Model CONTROLS THERM?STQ ? AT ? Haat lug Vent Size Valva KINO OF LINER SIZE r? ?-?=y Limit ??JP?AA(.' Droft Hood Regularor Limit Ssttiny Filters Size Number Fan Settfng Chimmey Location Inzidg 9 Qutside Pilot TYpe ?p?j j Chimney Con4truction ?i -til Pilor Make L,-,cyr(,.(ff ? Pilot Model Smoke Bomb - Pilot Timing Draft o - L.W. Cut Of4 N Door Pressurs. Preesuro Psrcenf CO2 r' Ddte Tssted - Inpur CFH P R? ercent 02 [' Nameof Tester Staek Tsmp: !Vw Psreent CO 702 - BY: AD Wiring ? Teat Tag Lighting Inst. HEATNJG & AIR Lic. # INC. Fwm 235 j? HOUSE HEATING TEST ADDRESS APT.- OCCUPANT ' shnnP__._ OWNER. HEAT LOSS DATE H G. INST. SOLD BY RECORD FLOOR INSTALLED•BY Eleehical Work By Gos Lina 8y._ CITY SUBURB TYPE OF HEAT GA _ FA _HW _ STEAM SPACE HTR. UNIT HTR. -I;&-OT HER GAS DESIGN A CONVER 9N MAKE ? v t MAKE OF BURNER Model Abdel Sxial R ? Max BTU Rating . INPUT 'MAKE OF FURNACE • - = Modei - + CONTROLS THERM TAT Heat Vent Sizs Yalee ??1QL r / KIND OF LINER SIZE NONE Limit -Sh ,?7 (??/ c C.- Draft Haod Ragularor Limit Sstting zQv FiMen Si:a Number ? Fan Setting 1 Chimney Location Inside Ll Outside Pilot Typs Chimney Construcfion C Pilot Make p4 "yy.e Of A. q14 ' J w ' ' ? Pilot Modsl ' Smoke Bomb Wiring Pilot 7iming- " Draft Test Top ? L.W. Cui Off ' Daor Pressure Lightinq insf. t? '7 ^ Pressure ?,p ? Psrcant C0 ? Date Tested ? z('?? ' .7 Input CFH.?d 2 ? percent 02 ? Name of Testar C _? 21. n 11- l/ L'r s7j - , Smck Temp. ?j ? Per?ent CO ? BY: ADVANCE HEAT G& AIR CONDITIONING, 1NC. Form 235 1