4325 Bear Path Tr - Heating Test RecordSEDGWICK HEATING & AIR CONDITIONING CO.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952) 881-7739
ADDRESS
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OCCUPANT (14-( `-inlaafi)
SOLD BY
.-140-1"
MAKE d1/111
SERIAL NO% X 69 14 L 8to
THERMOSAT c
kink, VALVE C
LIMIT
LIMIT SETTING /1 5 -
FAN SETTING Y
PILOT TYPE ,) yvt C'
IGNITION MODEL F ('✓ ' r
PILOT TIMING '5-L1.
PRESSURE % c PERCENT CO2
INPUT CFH lO ( PERCENT 02 8, 10
STACK TEMP. ()1-1 PERCENT CO
FORM 235 (REV. 6/08)
CITY a,'
HEATING
TEST RECORD
JOB NO59 L1.3
OWNER
INSTALLED BY frAC
MODEL l `u t NIP -303 -Tr) t
INPUT IG'(O
VENT SIZE CC
TYPE OF LINER
LINER SIZE
FILTERS- SIZE 6M /Y ( •f X q � NUMBER
WIRING 51it t % �>�L'►' q
TEST TAG
LIGHTING INST
DATE TESTED
COMPANY TESTING J��lll o J/ck.
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NAME OF TESTER C- ( C
FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY
SEDGWICK HEATING & AIR CONDITIONING CO.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952) 881-7739
ADDRESS
OCCUPANT
SOLD BY
MAKE
Beaft`Rodn---utiLl
( 13' 11104,efi
CITY
OWNER
INSTALLED BY
HEATING
TEST RECORD
JOB N0591-635-
11z7--1,
03la,-3
MODEL
SERIAL NO 5E/159 1 )_I 1 &0 LI INPUT
THERMOSTAT
-310B -
APR 7 1 2011
bl' r
VENT SIZE CO V
VALVE / v v/iS-J� TYPE OF LINER
LIMIT I E
LIMIT SETTING j i.) nr,�
FAN SETTING { 'v `ic
PILOT TYPE ii 1 ' "`.`j 1 I
IGNITION MODEL
PILOT TIMING •
td6c•
PRESSURES ? PERCENT CO2 �
INPUT CFH tote PERCENT 02 8• la
STACK TEMP. int -1 PERCENT CO
FORM 235 (REV. 6/08)
LINER SIZE 7�
FILTERS. SIZE 9Z ) ask NUMBER
WIRING 6 uhtV(
TEST TAG
TEST TA
LIGHTING INST.
DATE TESTED
/Ma ,
COMPANY
/8.1
NAME OF TESTER
C
FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY