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