1851 Cliff Lake Ct - Heating Test RecordSEDGWICK HEATING & AIR CONDITIONING CO.
1408 NORTHLAND DRIVE, SUITE 310 • MENDOTA HEIGHTS, MN 55120 • (952) 881 -9000
ADDRESS NS I C.- \ e L ( C (iv(' CITY
OCCUPANT 1b..r : 1 i �
SOLD BY -1At
MAKE /-ti( S 1 v Yl MODEL
SERIAL NO C7 f C2 z 7 t 0
THERMOSTAT (3 B i o Q o
VALVE
LIMIT
LIMIT SETTING
FAN SETTING
PILOT TYPE
PILOT TIMING
% /Yr) frt. (
CN ,4d Pr L
/
/p ,
IGNITION MODEL
PRESSURE se w ` PERCENT CO
INPUT CFH /� PERCENT 0
STACK TEMP. yo 2 PERCENT CO
FORM 235 (REV. 10/10)
z 3
0
OWNER
INSTALLED BY 17
INPUT tF t on
VENT SIZE
TYPE OF LINER
LINER SIZE
FILTERS SIZE
WIRING
TEST TAG
LIGHTING INST.
DATE TESTED
COMPANY TESTING
NAME OF TESTER
HEATING
TEST RECCOM:
2
#bou -1 /boll) x+12
FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY
/.lj- fY2. 5-X ( NUMBER
SE e tiooD
7/ /
49-5 (
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BNO 35109W