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1284 Corporate Center Dr - Heating Test RecordsHOUSE HEATING TEST REC, ADDRESS ??? OCCUPANT OWNER HEAT 1055 DATE HTG. INST. bOLD BY -W7"'i /7r"rL7 INSTALLIED BY Elsctrieal Work By _ 6 l' ?? i C Gas Line 8y _ TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER 40?12 GAS DESIGN CONV SION MAKE MAKE OF BURNER r A r ?? Model Model Ssrial Max. BTU Rating ? INPUT G i', ?• =, r- C'T/.1t MAKE OF FURNACE Model CONTROLS B G THERMOSTAT s/4>Heat Plug Vent Size Valve ? g'? KIND OF LINER SIZE NONE Limif Droh Hood - egularor 17"a 41142? ?-7S - 3 Limit Seriin9 ? Filters 5ise?E?umbsr Fan Settin ??1? ??'?c: ??1?- ? 9 ?- Chimnsy Loeotion Inside Outaids Pilot TYPe Chimney Construetion Pilot Make t_9 G,a/ S Pilot Model Smoke Bomb Wiring (JPilot Timing praft 112 Test Tap ? L.W. Cut Off - Door Pressure Lighting Inst. Prossure ?, -5- Pereent CQ Uate Tested 07 Input CFH 3 2 o-? ? Pereent 02 ?! ! o Company TesTing Staek Temp. ??% S Pereent CO U%U Name of Tester Fwm 235 LZ B 2 -cirY "5uBURB .. ;011 ? . HOUSE HEATING TEST RECORD ? ?? ? ? ? J ? ~ ? ? ? ? ? ? ADDRESS APT. FLOOR CITY !?7214UBURB . OCCUPANT ?hi°? ss Tr°l' lOWNER C_JL?US _ ? HEAT LO55 DATE HTG. INST. SOLD BY ?G/?r° Sfi ? INSTALLED BY o/w c°-j"f/ r Elschical Work By Q??f !r1 ??C' " Gos Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. dTHER G4^7' o? GAS DESIGN CONVERSION MAKE_ Model _ Serial _ INPUT THERMOSTAT L- ????"`''?}{eat Plug Valve U h 7L'/U Limit Limit Seffing 0 Fan $eHing Tim'?p !/S Sa r?(? Pilot Type Pilot Make Joh /1 S!]l1 r'r ?7 7i MAKE OF BURNER Model Max. BTU Ratiny MAKE OF FURNACE Model ? ? Vent Size KIND OF LINER 172r7- SIZE NONE Drah Hood --"'-"' Regularor Fiftora Size Numbsr ? Chimnay Loeation InsideT_Outside L? Chimney Canstruetion l900 1' f O!> l/n Pilof Model V 6 v76cv Smoke Bom ?-- Wiring ` v Pilot Timing Draff GT U rc?? Tsat Tog 7 L.W. Cut Off Door Pressure Lightiny Inst. v Prossure Pereent C0? Date Tested ? Input CFH /00 Pertant 02 ' ?o?a Company Testing h7? t/ r<h ' 5fock Temp. Percanf CO c'-)Name of Tsstar Form 235 ` HOUSE HEATING TEST RECORD .• . x r .I nvuKLSS • ?° ^-- APT. FLOOR CITY ??'H_ UBURB . OCNPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY ?C 7?S?'i ?/`1°?h • Eleetrieal Work By ? f 4i_L(' Gas Line By 7YPE OF HEAT GA FA _?HW STEAM SPACE HTR. UN1T HTR. OTHER 1f-?,C) {??%??• ? ' ? GAS DESIGhI- - CONVERSION fAAKE. Model _ 5srial _ iNPUT COJJTROLS THERMOSTAT ?r1'?? = f?? fHeaf Plug Valve t J I-!l Limit Limit Settiny 42 5 - - I - X Fan Setting ? S Pilot Type Pilot Make -Jnh n 5 Un C-c.-, 7 Pilot Model /, 60 Ir' 6 G -' Pilot Timing 14S'?q 12 r. L.W. Cut Off - --=M Prossure 5- S Percent CO 2 I?ut CFH ??% v 670 Percent 0 2 $tack Tsmp. J? ?S Peresnt CO ? Z = Form 235 .?. MAKE OF BURNER Modsl Max. BTU Rating MAKE OF FURN -' Model Vent Size KIND OF LINER 4fn •>r° SIZEf- NONE ?"- Drah Hoad Regulamr Filtsrs SizL LU,A?S?_? Numbsr l gmney Location Inside Outsids !--, , Chimney Conatruction f Smoke Bomb `-_ ?Wiring -S? Draft = Test Tay Door Pressure Lighting Inst. Date Testsd ) ?f?i5 err Company Testing r//G,i» C-S? Name of Tester , • i HOUSE HEATING TEST RECORD ? ADDRESS l_4f APT. FLOOR CITY SUBURB - OCCUPANT OWNER HEAT L055 DATE HTG. INST. SOLD BY e2diYl,-f f,,L INSTALLED BY e?2 CLrrr? Eleehical Work By ?9z///t10/e- Gos Line By r? IK TYPE OF HE/1T GA FA _1GHW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION - - MAKE MAKE OF BURNER - Model S 79 C/ 5-6 Modsl " Serial s7?`" ?9y 1? Max. BTU Ratiny INPUT MAKE OF FURNACE Model ? CONTRULS ? THERMOSTAT L-Q Heat Pluy Vent Size ?, le' ('o9r'/ Valve f1 KIND OF LINER SIZE NONE Lireit Drah Hood ?'-- ReyulaTOr ??%}" 217 - ? U Limit Sstting Fi Iters Size /Z XJ' ?X 2 Numbsr ? Fan Setfin9 ?f Chimnsy Loeation Inaide Outside t? Pilot Type Chimnsy Construction /Pa0 f?D /> Pilot Make Pilot Model Smoke Bomb Wiring L? Pilot Timing Draft Tsst Tay L.W. Cut Off Door Pressurs Lightiny Inst. j? Pressure S• S?Porcent CO Date Tssted Z Input CFH Psresnt Q 6Z-_ Company Testin •-?•--• Stock Temp. Pareent CO ?2'n Name of Tesror Form 235 HOUSE HEATING RD ADDRESS APT. FLOOR CITY CQ -r'3UBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY g?? INSTALLED BY Elsctrieal Work B Y---t Lf?-T Gas Line By TYPE OF HEAT GA FA _,Z_HW STEAM SPACE HTR. UNIT HTR. OTHER 10?-"Gp GAS DESIGN CONVER510N MAKE ?f w ?? t MAKE OF BURNER Model _Sr3 S 1?() U Model Ssrial FC) Go.?cS' Mox. BTU Rating INPUT MAKE OF FURNACE Modsl CONTROLS THERMOSTAT ;7e'/ SAa 4 ? / j,{ , sof Plug ? 1 Vsnf Siz1 YalreI/ L_LL??yA -G Y? c KIND OF LINER r-- ? 51ZE NONE Limit 0 Drah Hood Regularor Limit Settin9 - f 72 Fan Setting %//w,' /a // Pilot Type e' - Pilot Maka J o,"f f?- /f Pilot Model __-?;60 M6 ' ? Pilot Timing 14 ?, Q L.W. Cut Off Filtsrs Size / -12G-u-? %' ! Numbar / Chimney Location Inside Outside ` Chimney Construction l00{ Smoke Bomb Wiring I/ DraFt /-/9Test Tap !f Door Presswe Lightiny Inst. ? .. Prossure ?- f Percent CO 4L? ?wO 2 Date Tested '? ?s Input CFH ?a Psresnt 02 ?X) Company Testing $tock Tsmp. Psrcent CO ?C:Z? Name of Tester Z1`2?1 Form 235 HOUSE HEATING TEST RECORD ? . ADDRESS 4?4-51 ?a447. qpT. FLDOR C1TY ?AUBURB OCCUPANT e-?i.??„ T.-.h owNER HEAT LOSS DATE HTG. INST. SOLD BY 42r2 1-77 f' f f i< /?rr/I INSTALLED BY Elsehical Mfork By <:? Gaa Lin• By TYPE OF HEAT GA FZHW STEAM SPACE HTR. UNIT HTR. GAS DESIGN MAKE 16112X MAKE OF BURNER _ Model 5- 7 9/2 E~f ;70 Modsl $wial .SS?/?D 9 ?XS Mox. BTU Rating - n a a A TZ/? INPUT 0 '0 MAKE OF FURNACE 7 CONTROLS THERMOSTAT Sfa 1 Heat Pluy Va Iva Limit ,ZVG° f 0 ? v Limit Se»iny Fon Setfing f•.mP 44t ?NfC1T Pilot Type Pilot Make /lr? ,?rQ t? Tr r[? Pilot Model ----? Pilot Timing //7f,4 Q/l f L.W. Cut Off Prsssure z ' s Paresnt CO2 ? • ?? ?o Inpuf CFH 2'7 ?Peresnt 02 ?i 7?Gy Stack Temp. 3 3G Pereont CO 6!,2 Fwm 235 Mod.l Vsnt Sixe ? X -2 KIND OF LINER - SI DroN Hood Regularor Filfors Size ??, XPZ Number IV Chimnsy Location Irisids?- Outside 1,/ 7G "2' Chimney Construetion ?do Z Smoke Bom6 Wiring Ll Draft LQ ?U< Test Taq I J Dow Pressure Liyhtiny Inst. ? Date Tested Compony Testing r Name of Tester ??? ? 12 14_.4 OTHER line-i f'r a CONVERSION. HOUSE HEATING TEST RECORD ADDRESS 4?42419 APT. FLOOR CITY _4?UBURB OCCUPANT <<°/-n f?'lLi • OWNER Of US hIEAT LOSS DATE HTG. INST. IOLD BY 16 ,wr'f/., l • INSTALLED BY A /neS7"i E4ectrical Work By e-)?Ci Gas Line By /r ?r TYPE OF HEAT GA FA _4/--HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN ? CONVERSION MAKE ?? MAKE OF BURNER Model 57)1 ' ?.l C 6 i: %.^r? Model Sqrial Max. BTU Ratiny INPUT ?) nT. :.' MAKE OF FURNACE - 7 Model CONTROLS THERMOSTAT s'4 H t Pl Ve t Si ea ug ZL l ? Q ze n Valve l (, ?i KIND OF LINER 120"7e SIZE NONE Limit Droft Hood -?- Regulator ?qjk/ X/G? '2 r - j Limit Settiny ? Fi Iters 5ize -.20 X1 r X ? ?lumber ? Fan $atting /GY L.4 Chimney Loeation Inside Outside y P'ilot Type Chimney Construcfion '000 4'7'0b Pilot Make JohVjfc,)1 ?a?ltid/r Pilot Modal G 6 G??? - 3 Smoke Bomb 7- Wiring ? Pi)ot Timing ?? S fq 1? ? Draft Test Tag ? L.W. Cut Off '?--~ Door Pressure Lightiny Inst. ? Pressure Pareent CO ?" a 2 Date Tssted ?f In ut CFH 160 p Psresnt 0 l70 Company Testing 2 Stvck Temp. -SY5 Psreent CO a yo Name oF Tester 4'?-/?7 235 HOUSE HEATING TEST RECORD ? a ADDRESS APT. FLOOR CITY i±-JGUBURB OCCUPANT OWNER tZg_- HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY-,?/????°1? Elsctrical Work By 64v??,_-91 L Gas Lins By ?TYPE OF HEAT GA FA _LHW STEAM SPACE HTR. UNIT HTR. OTHER ,p GAS DESIGN CONVERSION MAKE MAKE OF BURNER Model .s 7 9l / SU ?!'> O Model Seria l ys 8?'G S' ??? r Max. BTU Rating INPUT f00, 00 D/-f TC/r MAKE OF FURNACE Model CONTROLS THERMOSTAT ?nr/S?QfHeat Plug Valve LJ f? / f rZoCJ F,-s Limit U• //t"yPQ Limit Setting 1,20o Fon Setting , ? Z" Pitot Type rl e-e- Pilot Make (Jh' 4 Pilot Model ?9v Pilot 7iming L.W. Cut Off Vsnt Si:e -' /t x ? 1 KINO OF LINER SIZE NONE ? Drah Hood Regularor S 2 ? - Filtxs Size /A A 16 x 7- Number -T Chimney Location Inside Outside 6Z Chimney Construetion eo G tl_ t0 ? 5moke Bomb ? Wiring DrafT Tast Tap _.-, Dow Pressura Liyhtiny Inst. /s Proswre 3' s PeresnT COZ Date Testsd Input CFH Percent 0 G% Company Tes*ina ?Om?S?? Stack Temp. Percent C02 U7, Name of Tester ,/?? ) /, A> Form 235 . HOUSE HEATING TEST RECORD r.--- ?A ? ?-a.. /I,- /'L 1?lT? ? ADDRESS Zo2?L?Z 624•2• f?i APT. FLOOR CITY UBURB OCCUPANT --,& ?', N Ai'rti OMfNER ;42- ' HEAT LOSS DATE HTG. INST. SOLD BY ?,C?r '? f• !' /tlri'd? . INSTALLED BY f,G/?'I Eleetrieal Work By Gas Lins By TYPE OF HEAT GA FA k/ H1Y STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER Mod* l S?C 11i U Model Serio1 3?? yG ? a 9 s? BTU Ratin Max g . INPUT S/OD? 4C? G MAKE OF FURNACE Model CONTROLS THERMOSTA T I-.4L.?XQt Heaf Plug Valve Limit 4 ; ZZ4 44 4/ , Limit Setting / 9`/ U Fan Setting P 12,- ??: [./t Cy?•?(? Pilor Type Irl ?l • Pilot Make n / fC Pilot Model ? Sc ' /9s Pilot Timing L.W. Cut Off Yenf Size J/i'. S( i-, KIND OF LINER SIZE NONE Droh Hood Regulator -ID S- j Filtsrs Siza ?? Y-21- x " Number ? Chimney Loeation Inside Outsids ? Chimnsy Construetion "Vt, G 4' _-n,/J Smoks Bomb ?7 -~ Wiring L" Draft , ' A' /1 ?? r C? To:t Tay i'! Door Pressure "`? Liyhtiny Inst. Pressure -3'-5- Pereant COZ ' Oate Tssted Input CFH Psrcent 02 ? 'Z?ye? Company Testing ;V Stack Temp. Percent CO 0 Name of Tester ./4°4Z Form 235 40? I/ HdUSE HEATING TEST RECORD ADDRESS APT. FLOOR CITY &29-0-*lSUBURB OCCUPANT r'f, =rr 70?_- L? OWNER 44 4/5' HEAT LO55 DATE HTG. INST. SOLD BY INSTALLED BY Eleetrical Work By Gaa Lina By TYPE OF HEAT GA I FA (L_HMf STEAAA SPACE HTR. UNIT HTR. OTHER MAKE. Modsl _ Sarial _ INPUT GA5 DESIGN CONVERSION CONTROLS THERMOS7AT C4lls?Gf?!eat Plug Valve r7lj1J fl;s,f1 Limit L2i2 /O Limi,t Seftiny Fan Setting &°ZQ ?4 Pilot Type Pilot Make Pilot Model Pilot Timin4 7, L.W. cut ofF - Pressure - ?!?? Percent C02 Input CFH ed Percent 02 Stoek Temp. -fsG a Percent CO Form 235 MAKE OF BURNER Modsl ?i Max. BTU Rating MAKE OF FURNACE ? ; Modsl V ~ Ysnt Sise KIND OF LINER -' SIZE,y NONE DraFt Hood Rsyularor Filtsrs Size --70X 1 SX / Number ? Chimney Lacation Insids Outside ? Chimney Consiruction &dY" 7g? Smoks Bomb -? Wiring ? / Draft Test Tap Door Pressure ----1 Lightiny 1.,:*_ Date Tested Company Testing / Name of Tester ?j ?°-/ 9?/?N >: .?. . . • ' HOUSE HEATING TEST RECORD • ADDRESS APT. FLOOR CITY Af-99Q411BURB OCCUPANT tiC,0" ?c'l/? OWNER L:3? US HEAT LOSS DATE HTG. INST. 'S()LD BY INSTALLED BY Electrical Work By Gos Line BY TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN MAKE ? MAKE OF BURNER _ Model -!r-X ?? L (L?j/.?(.1C! Model Ssrial ?? ?V5? , Max. BTU Rariny- / Ur IWPUT 7 ,1Ln /t) MAKE OF FURNACE CONTROLS THERMOSTAT 1Z:44C--W-Heat Plug Valve (lG l/ -?yX -G y-5 Limit ,4 ?d /n Limit Setting Fm, setrin9 T? r r Pilot Type 6'Iec Pilot Make ?G /'A ?s r7 Cor1 f/ [Z/ Pilot Model G6 U/F /3G - 3 Pilot Timing StC-e 1-7 f L.W. Cut Off - Prossuro Psrcent CO 2 , Input CFH gb Pareent 0 G ? L Smek Tamp. ?60 ` Percent CO O%6 Model I/ ri Vsnf Size KIND OF LINER SIZE NONE Drah Hood -?+ RegulaTOr /70 , S- ' Fi Itsrs Sise -7U X.?SX t Number 14 Chimney Location Inside Outside Chimnsy Construetion Smoke Bomb ` Wiring -L? Draft /U4 fU/ 9l Test Tag _a Door Pressure Lightiny Inat. Dote Tested Company Testing r' J/ C . Nome of Tsster 1?F? ?1 -, / / -7 CONVERSION ?°' ?y?y• ' HOUSE HEATING TEST RECORD ADDRESS [ ? ?lL ? /' ?? • ? I APT. FLO R CITY -- SUBURB OCCUPANT OWNER C1?N S HEAT LOSS DATE HTG. INST. '- SOLD BY INSTALLED BY ?'` S 7?? ?1/l?/'nL - Elsetrieal Work By _' L:? Gas Lins By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNiT HTit. ?i-OTHER ? GAS DESIGN MAKE f 1? ?? BURNI ? Mod* l Model Ssriol r/ci c7'S1y Mox. BTU Rating INPUT MAKE QE-FtJif?ll CONVERSION CONTROLS THERMOSTAT T??'??J6 ?Heat Plug Venf Sizs Valvs nq / > 3r KIND OF LINER 1yr°?q l?r°sf??? SIZE Ir' NONE Limit Draff Hood Royulato? 112'1211 /714GZ- Limit SeHing ae ? Fi Itsrs Size Fan Setting Chimney Location Inside Ll Outside Pilot Type Chimney Construcfion l' ?SS l? Pilot AAake -' Pilot Model •?? yG' l'?f?%' Smoke Bom6 Wiring Pilot Timing ?? sn? Drafi e !/ Tsst Tae .. L.W. Cuf Off Door Pressuro Liyhtiny I.,st_ Proswre ?• S? , Parcent C0? X, Dats Tested %?! Input CFH =2? ? Peresnt 02 /2 Company Testing 7 ' ?' '?%' ?• Stack Temp. _? Pereent CO G??, Nams of Tester Form 235 ?.. HOUSE HEATING TEST RECORD ADDRESS APT. FLO CITY SUBURB OCCUPANT OWNER C2. ? HEAT LOSS -- DATE HTG. INST. SOLD BY INSTALLED BY C42 . Elechicol Work Gas Line By ,LcQ T /L TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER MAKE. Model 5eria l _ INPUT GAS DESIGN Modsl CONVERSION CONTROLS • THERMOSTAT 7_2.ZlL`F? --? eat Plug Valve L&Ln/,F Limit ?. Limit 5stting Fan Setting Pilot Type Pilot Moks ? Pilot Model t• ?? /9 ///? Pilot Timing Sr"c L.W. Cut Off Proswre Peresnf CO 2 c`- Input CFH Pereant 02 42 - ?o Stack Temp. l9 S Percant CO L1 7-6 Max. BTU Ratiny MA K E O F_F?j Vsnf $ize KIND OF LINER 12494LgiG? ' SIZE_ ?-NONE Drah Hood L "' t =+ . C ?, Rpularor Filters Sixe Chimnoy Location Inside ? Outside Chimney Consiruction l ?.,fr ? --------- $moks Bomb Wiring _-? Draft ':,4 Test Toy Door Pressure l'--Lightiny Inst 1 ?- Date Tested n • -Company Teating Nome of Tester ?" •'?'`?G ?? ?,-' Form 235 •` ' HOUSE HEATING TEST RECORD • ` ? c? r-ri V ADDRESS /???N /w?-/?/j '? APT. F 0 CITY SUBURB OCCUPANT 7- OWNER ? 1? HEAT LOSS DATE HTG. INST. "- SOLD BY INSTALLED BY Electrical Work By ? Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. -40THER GAS DESIGN CONVERSION MAKE Q M NER Model b Model $ariol O•s0 ?.f/?r?v 11llox, BTll Rafing INPUT °??S•, D U C MAKE OF FUR? CONTROLS THERMOS,3 ??`F{eat Plug Valrs V ?\20? Limit Limif Setiin9 1770 ? Fan Settiny 7-' m e° ? Pilot Type Pilot Maks Pilot Model O Pilot Timing L.W. Cut Off Mrdaff ? Vent Size ' KIND OF LINF!I2 <- SIZE?-NONE Droh Hood Regulamr ???' ?!? :' - ?,-- •; ? Fi Iters Size Number -~^~ Chimney Loeation Insida I= Outsida 6 ` ,<? Chimnsy Construction ;` Smoke Bomb Wiring Draft - 4' Test Top Door Pressure `r Liyhting Inst. Prossum s? Percent CO Uata Tesrod Input CFH a? s Peresnt 02 Company Testing Stoek Temp. Percent CO 0^ Name of Tsstsr _ Fwm 235 ADDRESS Jzn, OCCUPANT K&A HEAT LOSS SOLD BY V.{. 1 W. HQUSE HEATING TEST RECORD C N?? Uf'!W APT. FLOOR CITY SUBURB _OWNER iNsT_ _ 0/ . iNSTALLED BY wP111E (.,. f' .(/?? C Gas Line sy I.cJP/1 Zt°L _HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN MAKE f??qne-- MAKE OF BURNER Model ? I0C+ R Z E Model Seriol 31COa $3U Max. BTU Rating _ INPUT 47,) MAKE OF FURNAC CONVERSION ?yy? CONTROLS HERM ST T ' J ? I' A V Si I,/ x/ A - T - - - - Hspt Plug F9 snt ze Valvs ? t ? ?? '"' r KIND OF L!NER 517F NANE Limit Droft Nood 1,4 Regulator MAKIjnx- Limit SeHing ? ???? , --- - - Filters Size b ?sk? NLmbsr Fan $efting Chimney Location Inside Oufside Pilot Type O 0f Ch'mney Construction '`' 11 4-q4 / ' Pilot Maka J Pilot Model z $moke Bo ? 'b Wiring Pllot Timing ( Droff i?fCe Test Tag L.W. Cut Off Daor Prossure Lighting Inst.. Prsssuro ? Percent CO 2 ? n Dote Tested o D l Input CFH 0 / Pereant O2 ?' 7 Company Testing ,t/' Staek Tamp. 7 u Percent CO h Name of Tester ,J Form 235 Model _-