961 Wildflower Ct - Heating Test RecordSEDGWICK HEATING & AIR CONDITIONING CO.
8910 WENTWOORTHp ` (
AVENUE SOUTH • MINNEAPOLIS, MN 55 • (952) 881 -7739
ADDRESS ` V l i - `- r
OCCUPANT 7d K._
SOLD BY
MAKE I , 1)34,
SERIAL NO
(��� FOOT
THERMOSTAT • VY
VALVE
��/
lys�j=
VAL
LIMIT
FAN SETTING
PILOT TYPE
LIMIT SETTING
IGNITION MODEL
PILOT TIMING
PRESSURE
INPUT CFH
STACK TEMP /
FORM 235 (REV. 6/08)
PERCENT CO 7--2
p• /
PERCENT CO
PERCENT 0
CITY
OWNER
INPUT
VENT SIZE
HEATING
TEST RECORD
JOB NO
RECEIVED
d /,$-
3Z1
INSTALLED BY ,I
MODEL SI. `Y✓1'07t/ v 3(96
TYPE OF LINER
1
LINER SIZE �C
FILTERS SIZE 1)i NUMB --
WIRING 1/ L�74 de l
TEST TAG ! 4 /
LIGHTING INST. ,4/
DATE TESTED l 1 ( g
COMPANY TESTING S �-"---
NAME OF TESTER
FORM DISTRIBUTION: WHITE COPY - JOB FILE
AY 0 5 2011
YELLOW COPY • CITY