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2750 Eagandale Blvd - 2010-02-15 Heating RecordsGAS DESIGN MAKE Model y3 x.07, . e 4 1E11A'6 (i serial `f y 10) 4,81J INPUT 05, 'r e> HOUSE HEATING TEST RECORD ADDRESS 21 5 gA Di4tf APT. FLOOR CITY SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY YV _ �N r L M v Electrical Work By Gas Line By o TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER erti '7 CONVERSION MAKE OF BURNER Model Max BTU Rating MAKE OF FURNACE Model CONTROLS / THERMOSTAT/ '' Het Plug Vent Size Valve V1/'/'i fl te " KIND OF LINER SIZE NONE Limit S 1 4J S* 4 Draft Hood f /V. ed.. Regulator 31S w 3 £ t Limit Setting / 4) a Filters Size Number Fan Setting 714 Chimney Location Inside ' Outside Pilot Type IC Chimney Construction Pilot Make Pilot Model f Smoke Bomb Wiring Pilot Timing Draft _ .__ 0 1 Test Tag Y &.j" L.W. Cut Off Door Pressure / Lighting (net Pressure " Percent CO ' ` Z. Dote Tested 2 ` I1 f 5 ^ Input CFH / )J Percent 0 a 4 Company Testing w e C. hi 1/h -4- Stack Temp. 3 & 7 Pe rcent CO B.. Nome of Tester Form 235 Limit 5/4411 Input em "T S Stack Temp. �► Form 235 HOUSE HEATING TEST RECORD ADDRESS 2075.0 " i;r4+JM f3t.V) API" FLOOR CITY SUBURB OCCUPANT Y":OW IER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY % E VA ' Electrical Work By Gas Line By / TYPE OF HEAT GA ' FA HW - STEAM SPACE HTR. UNIT HTR. _._t —OTHER ei '. ---- GAS DESIGN CONVERSION MAKE MA MAKE OF BURNER Model I Model f Serial ) 0 2. I Lb. i Max BTU Rating INPUT 124 c MAKE OF FU'NACE Model CONTROLS THERMOSTAT e Heat Plug Vent Size Valve V l l it 1 e, +I tJ f ._n -� KIND OF LINER .0" I/A4014, SIZE NONE Draft Hood +LS R egulator 005' 14 flA Limit Setting / t 4 Filters Size Number Fan Setting 3 " "7"7 Chimney Location Inside / Outside Pilot Type SP Chimney Construction Pilot Make Pilot Model / Smoke Bomb Wiring o` ■ Pilot Timing i Draft OK Test Tag yelp L.W. Cut Off i Door Pressure 1 Lighting Inst. , 4 t Pressure r J " Percent CO * Date Tested " /"° /t) Percent 02 t t ■ Company Testing Vt,/ # E1V xe /4/4e„ Percent CO 21 a r ` Name of Tester HOUSE 2:756 j f wid 4 4 ADDRESS OCCUPANT HEAT LOSS DATE HTG. INST. SOLD BY Electrical Work By TYPE OF HEAT GA FA HW STEAM MAKE �1�;/p/�f GAS DESIGN Model ; 0,40 t a/4A° Serial 10• ) 3/ INPUT ! ° (!`OCp CONTROLS THERMOSTAT ij) t Heat Plug Valve ‘141Pre Rairews Limit ■3NI 41;4-- Limit Setting I Fan Setting i0 Pilot Type 5,484 Pilot Make Pilot Model Pilot Timing L.W. Cut Off Pressure 3r Input CFH } � Stack Temp. Form 235 Percent CO Percent 02 Percent CO HEATING TEST RECORD APT. FLOOR CITY v'w "SUBURB OWNER INSTALLED BY Gas Line By SPACE HTR. UNIT HTR. OTHER CONVERSION MAKE BURNER Model ._ Max BT J Rating MAKEs0F FURNACE Model Vent Size KIND Q_, LINER / Draft Hood jiY4faZ Filters Size Chimney Location Chimney Citstruction Smoke Bomb Wiring Test Tag Door Pressure f ` Lighting Inst. f r Date Tested ��r .5; I Company Testing /' + / i� 41 fpi Name of Tester t Draft ,��'✓ Inside lE* va SIZE Regulator 5 Ngmber Outside ." .412 HOUSE HEATING TEST RECORD APT. FLOOR CITY M'SUBURB OWNER DATE HTG. INST. ADDRESS OCCUPANT HEAT LOSS SOLD BY INSTALLED BY l`/5rt.s L. Electrical Work By Gas Line By ) ' r . t TYPE OF HEAT GA FA HW STEAM SPA * CE HTR. UNIT HTR OTHER P."(" �--�� GAS DESIGN ' CONVERSION MAKE Pt' A Ar Model )'Sr, �..% g 4 4 A Serial 1 00)) ) INPUT „ " CONTROLS THERMOSTAT /Nil Heat Plug Vent Size Limit thithitA or c... Limit Setting j 0 Fan Setting . 7 - . 0 .42 Pilot Type .S,oiff.t J'~- Pilot Make ) Pressure ✓, 1 Percent CO2 Input CFH f Percent 02 Stock Temp. / 3 it Percent CO Form 235 1.4 15 ,' ' MAKE OF-BURNER Model Max BTU Rating MAKE OF FURNACE Model KIND OF LINER SIZE NONE Draft Hood i/1'00 Regulator 5t co 5 Y it Filters Size Number Chimney Location Inside Outsiide Chimney Construction Date Tested Company Testing Name of Tester Pilot Model Smoke Bomb 'r Wiring Pilot Timing Draft _._ Oh" Test Tag Yes L.W. Cut Off Door Pressure Lighting Inst RS-�f HOUSE HEATING TEST RECORD ADDRESS 2,.. ® A krA 1 St. a APT. FLOOR CITY SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY WeivttL. Electrical Work By 4as Line By 1 TYF'E OF HEAT GA FA HW STEAM SP4CE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE Milk' ' i MAKE OF; URNER / Model ; 5 C. 0L48 EgEt 4 0440 Model h t_ Serial /001) 2 . 4 1 4 • 1 .. Max. BTU,fRoting MAKE OF FURNACE Model INPUT / ?O THERMOSTAT s Valve { 6 Limit SNAP bIS Limit Setting /46 Fan Setting "1I111 . Pilot Type SPAR ice. Pilot Make Pilot Model Pilot Timing L.W. Cut Off Pressure 3 5 Input CFH CONTROLS Heat Plug Vent Size KIND OF LINER SIZE Draft Hood /.41 Regulator Fi lters ;„_ Size Number Chimnoy ication Inside / Outside Chimney Construction Percent CO2 Percent 02 Stack Temp. ' . Percent CO Form 235 Smoke Bomb Draft ek. Door Pressure Date Tested Company Testing Nome of Tester 1.1 NONE Wiring Test Tag 4+r Lighting Inst. HOUSE HEATING TEST RECORD E. ADDRESS Z.156 E f Eilti tAt.s 11.40 APT FLOOR CITY SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY i o "` =I Electrical Work By Gas Line By °/ TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER i7' GAS DESIGN MAKE /44 Model Y C> qe - NAovb Serial /p ®/ /j qwg �... INPUT / Z,O .+' Pressure " Percent CO 1 ' 1 Input CFH // Percent 0 1 ' Stock Temp. '46 P ercent CO Form 235 CONVERSION MAKE OF BURNER Model s, Max. BTU Rating MAKE OF FURNACE Model .� CONTROLS THERMOSTAT it-` Heat Plug Valve �(iJh 7C ' 0 64 ;71 • 1° Limit SN4P 41,P I Limit Setting /6 i? Fon Setting 77,4 Pilot Type SP4 RJ Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timing Draft aek. Test Tag Yt L.W. Cut Off Door Pressure / Lighting Inst. Vent Size KIND OF LINER / SIZE NONE Draft Hood "016 a Regulator $• qto Filters Size Number Chimney Location Inside ✓ Outside Chimney Construction + Dote Tested Company Testing Name of Tester MAKE ' 7R /fi Model \jtC t 4 1S 6 H�QM'i Serial /� /J1 ie.J� INPUT jam. THERMOSTAT ' 1 Valve "klit1 / Limit S/vt3 f� Limit Setting /G Fan Setting Pilot Type Pilot Make Pilot Model 1 Pilot Timing / j L.W. Cut Off 111 o EA IA AN bate GAS DESIGN CONTROLS Heat Plug � �7 Pressure / _ Percent CO Input CF� Percent 0 Stack Temp. 4;41 Percent CO Form 235 2 HOUSE HEATING TEST RECORD ADDRESS OCCUPANT 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 OTHER Dote Tested Company Testing Name of Tester APT. FLOOR CITY OWNER EM X L /11/, CONVERSION MAkE OF BURNER Model Max BTU Rating MAKE OF FURNACE Model Vent Size x� KIND OF LINER SIZE NONE Draft Hood / bW Regulator 32.5- L. ` Filters Size N mber Chimney Location Inside Outside Chimney Construction Smoke Bomb Wiring / Draft ©X Door Pressure Test Tog ) Lighting Inst " weAl "liqUBURES