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15-16703
Zephyrhills
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2015
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15-16703
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Last modified
2/21/2017 11:52:44 AM
Creation date
2/21/2017 11:52:43 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
15-16703
Building Department - Name
KISER,KRISTINA
Address
39020 6TH AVE
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CMG 1249406.�F�,4z�s�o . �p� a� � al � ��d0 � <br /> � ' � IIdSTALLATION WORK ORDER (727) 58$-4200 <br /> . . , • ' <br /> '�'�i S 'rf� (� I S � � `� l.� ��z 22(/%7 <br /> Customer Name Date Call Slip q ' <br /> �3 �o a� � � �h/E Z PP�' yU�� �(s �� 33 s� <br /> • Ad ess City Shdte Zip Code <br /> ( �� � ) �f�— dL�l6 � ( ) / . l <br /> Phone Phone Scheduled Installatibn Date <br /> We hereby agree to furnish and you agree to pay for all necessary equipment,materials and labor to install the following items listed in accordance <br /> with the conditions and.specifications set forth on the reverse side. <br /> 1� ' <br /> pption#1 ,C� � Option#2 C�ption #3 <br /> " 1�rt4-L L +'��l u M�' � <br /> 0 <br /> cu .n A-�I�as-� ���- <br /> W/ KW W/ KW KW <br /> b le��- (�� <br /> PRICE � ✓�s�9 � � $ <br /> OPTIONS�2�,�� •(.tnl ►/'�LIl�✓e�+ - • + - � <br /> � - 7�Q A�hc �su I + - + - <br /> �_I a�� Na7 �!Nr��ffialy+ - + - � <br /> TOTAL $ �SO' �� do=�OD�$ � � <br /> Warranty: Comp.�.Parts Labor ' Warranty: Comp Parts Labor Warranty: Comp Parts Labor <br /> Refri�er nt recovered and disposed of as required by law. Complete clean up including use of floor savers to protect your home <br /> and removal of existing equipment. All work completed is done in accordance with existing codes and permits, as required. <br /> ■ � � - . . � <br /> ❑ Hurricane Tie Downs � ❑ Refrig. pipe( ) ❑ Drain Line_Reconnecc_New � Supply plenum a�,� Na,,,, <br /> Feconnect New <br /> ❑ L'rfetime equipment slab ❑ Refrig.pipe cover ❑ New Plywood Deck � Return plenu R�«,�� � <br /> ❑ Sound isolation pads `� Expansion valve ' ❑ Ceiling saver kit(pan&float) �Remove existing equipment <br /> ❑ A/H Whi /Disconnect ❑ Tape/Seal.Duc,is( � ) ❑ Main drain safety switch ❑ A/H Stand ❑ Coffin Box <br /> � C/U hip/ isconnect � T-stat Wire�Reconnec�New ❑ Attic Light ❑New Outlet ❑ Insulate Return Box <br /> �Digital T-stat� /'�• � �a � Conn.to exist.elect. ❑• Support attic equipment ❑ Vertical ❑ Horizontal <br /> � Flood Zone 7 ( ❑ IAQ{ ) ❑ Crane/Stories Reach j�GL�Qj`� <br /> , Y�q � . � <br /> ❑ Access ( ` ) � Breaker Brand Size A/H Size C/U Wire Size A/H Size C/U <br /> " - - =�• _��3fE}�f��fD�eL�E0�1:- f � ' - - - " - '- - ' - ' � - -"- -- - - - = - - <br /> :•••::::::::::::::::::.:::::: _ _ _ _ -•-_• • .•- _:-:---:--_ :_.:._-:--=---..:-:.-:::=-====-•::-=-=�- =.-:- •. -=-- : - .,•_--- - <br /> �::::::::::::::::::. :-:-:-:_:-:_:-:-:-:-:-:_:_��a.a���ea:'::: _ = - - _ __ : _.�€t9%:�J�c�r�i�mna]E�iie�i�a�€�::`c��ge:=== .-�- <br /> - - - - - = - - - = - = - - - -�: <br /> - - - _ :=: -�--:=: - - _- _ : _=_ - - =_ ' - _-_ _-_ - _ <br /> =�rt�o_ .�ua��e�==:=:=:=:===`�=- - ==- _- _ - :������ei��e=Giia�����e':::=:::::� :::::::::::::::.:::::.:::: <br /> - - - - - -� - - --� _ - - • � ----- - ��� �- . -=- . ,- __ . - -�.- - - . -. -- - - - - --- - - ----- <br /> ADDIT O AL: � � �C1�V+�1� INSTALLED Q <br /> b � AMOUNT: ��7 �D7. <br /> � � Ir' .t IJ S�� <br /> O REBATES � $ <br /> Initials ARS is not responsible for any existing ductwork. (mailed to home own � <br /> $ OTAL ��7 <br /> By: Date: � � By:. Date: � � �� <br /> G�s7aner O� CanpenyRepresenlsGie � . <br /> Terms: ❑ Cash Chec�#15 Iy�.�1.a#• Exp. Fnanced through:• �� � <br /> Note:Beginning 2010,R-22 equi ent wlll �g�be�ddt�ed. Replacement parts end refrigerant will be available,however,equ�i�it cannot be mixed. 414A(s•the new refrigerant. <br /> BUYER'S RIGHT TO CANCEL.This is a ho�sollcilation sale,and it you do not want the goods or services,you may cancel th(s agreement by providing written noGce to the seller in <br /> person,by telegram,or by mail.This notice m t indcate that you do not want the goods or services and must be delivered or pastmarked before midnight of the third business day after <br /> you sign this agreement.If you cancel this agreement,the seller may not keep all or part of any cash down payment. <br />
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