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4604 Parkcliff Dr - Heating Test RecordSEDGWICK HEATING & AIR CONDITIONING CO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952) 881 -7739 ADDRESS Y Xtrl CITY e tc" . n M e iu0.1.4rl.+e°4. 1 OCCUPANT jJ�� OWNER SOLD BY Det/I, pe L MAKE SERIAL NO ( ` ' I INPUT THERMOSTAT WO✓Iey V • feif �[ VALVE f IC c.. LIMIT L I °7 / — 30'r LIMIT SETTING 2o0° FAN SETTING L( i- PILOT TYPE IGNITION MODEL //S.L ? PILOT TIMING PRESSURE ° PERCENT CO INPUT CFH L PERCENT 02 STACK TEMP. 1 OS PERCENT CO FORM 235 (REV. 6/08) 717 7, Li 0 INSTALLED BY HEATING TEST RECORD MODEL S4,071 6 C o u Vic VENT SIZE 2" Puc //�� TYPE OF LINER ( 2) U LINER SIZE V FILTERS SIZE Zb7tcY WIRING `r TEST TAG ` // � " ( LIGHTING INST. / �/� cont 1 DATE TESTED ` 1 1 S e d COMPANY TESTNG S t j2 NAME OF TESTER / - •CA JOB NO 3 3 S C " NUMBER FORM DISTRIBUTION: WHITE COPY • JOB FILE YELLOW COPY - CITY