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16-17731
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16-17731
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Last modified
7/18/2017 1:16:54 PM
Creation date
7/18/2017 1:16:54 PM
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Building Department
Company Name
WEDGEWOOD MANOR
Building Department - Doc Type
Permit
Permit #
16-17731
Building Department - Name
NEISWENDER,RANDALL J & CAROLYN J
Address
37348 DERBYSHIRE DR
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,� , SERVICE INVOICE LOCATIONOFWORK YSCA Yes / No <br /> CHECK LIST - 16473 """'E <br /> ❑ COMPRESSOR "//���� ADDRESS <br /> ❑sucnoN PS� � AirTec I� <br /> ❑HEAD PS� �� . � "� 813-779-7508 ����� �j� <br /> ❑VOLTS a�nPs � �� • WORK TO BE DONE-COD <br /> ❑ELECTRICALCONNECTIONS • `a� � CD P.O. BOX 1120•ZEPHY IL S� FL 33539 G'�t'/�� i i'�'/Q.,.-�� <br /> ❑CONTACTS TI�HT 6 CLEAN � /, <br /> ❑OILLEVELBCONDRION BILLTO FL State Li�.#CAC1815498 Date � • /��/7'i"l �`LQ, u�U <br /> ❑ CONDENSER COIL (/" �' <br /> ❑CLEAN COIL d CHECK FIN COND. NAME I SERVICE <br /> ❑errt 'F LVO °F �/Z d l p�.l�I s �/lj(��IL ' � �-� �. TECHNICIAN COST ENVIRONMENTAL CHECK UST <br /> ❑ REFRIGERANT STREET �j [� PHONE / Q, p N'ORKPERFORYED on UWTPRICE <br /> ❑ FAN A DcMOTOR ��3�{o �e� �' l�R� �/�i C�I��ySv/ 9'�� l � roRCH us�cae <br /> ❑VOLTS AMPS 7 /� C 1 <br /> CITY STATE ZIP ` , REqJUMED <br /> ❑ELECTRICALCONNECTIONS I G�� ///��j � � , ` VACUUMPUNPUSAQE <br /> ❑corirncrs ncHr a c�rw MAKE MODEL SERIAL NUMBER <br /> ❑FAN PULLEYS(A0.JUST BELn • OTY. MATERIALS <br /> ❑CNECK,LUB BEARINGS 8 MOTOR � " <br /> ❑�� r/ MAKE MODEL � RJ�1L NUMBER I <br /> ❑ EVAPORATOR COIL � `� 9 � Z. ' � ��J� � REFRIGERAHTR <br /> ❑CLEAN COIL 6 CHECK FlN MAKE MODEL SERIAL NUMBER <br /> ❑ENT DB_°F LVG DB_'F <br /> ❑ENT WB_°F I LVG WB_°F <br /> ❑ CONDENSATE AREAS �E MODEL SERIAL NUMBER <br /> ❑INSPECT 8 CLEAN DRAIN P/W <br /> ❑INSPECT 8 CLEAN DRAIN DESCRIPTION OF WORK PERFORMED <br /> ❑ AIR FILTERS <br /> ❑CLEANED ❑REPLACED <br /> FILTER SIZE <br /> ❑ HEATING ASSY. (��,�, � � ` ��� S ' <br /> ❑BURNER 8 HEAT D(CNANOER <br /> r � �" -�� 1�'.� S� �w. <br /> ❑FUEL SUPPLY 8 PRESSURE �. <br /> ❑PILOT ASSEMBLY <br /> ❑FLAME A0.IUSTMENT - <br /> ❑PRIMARYRFIAYBFLUE k � �/ �f1./�L ��ab�� � <br /> ❑FAN 8 LIMIT SWRCH OPER. � <br /> ❑BLOWER ASSEMBLY <br /> ❑RV VALVE <br /> ❑STRIP HEAT <br /> ❑DEFROSTCYCLE <br /> ❑ ELECTRICAL COMP'TS ` ^ <br /> ❑RELAYS ❑CONTACTORS 3� ja ( / . �� '/ 1 � _1 � J� �n,C <br /> ❑OVEHLOAD ❑PRESS.SWITCH L•✓ G" �/ '�1G <br /> ❑ THERMOSTAT y ` � �� <br /> ❑o.k ❑REPLACE -�- �yh�dM�; � L' S— (�J� l` fTA'v^- Time ot Armial: <br /> ❑RELOCATE . �_ <br /> � <br /> �7 (� Time of Departure: <br /> �° ��'�-a��` �SGc%�e,..� � � , r;�i " -��. /�/1 Pr �� �� /' l� T ��Y� <br /> RECOMMENDATIONS I HAVE AUTHORIN TO ORDER WORK AS OUTLINED ABOVE.THIS INVOICE IS SUB,IECT TO A FINANCE CHARGE OF 1 1/2�PER MONTH. TpTAL SUMMARY <br /> ANNUAL PERCENTAGE RATE OF 18%WHICH IS ALLOWED BY LAW.I AGREE TO PAY ALL COSTS AND HEASONABLE ATTORNEI"S FEES <br /> IF THIS INVOICE IS PLACED IN THE HANDS OF AN ATTORNEY FOR COLLECTION.CUSTOMER RECEIVED NOTICE OF CONSUMER TOTAL <br /> m�� RIGHTS UNDER STRUCTION INDUSTRI RECOVERY FUND. MAT T�I AS <br /> � LABOR <br /> !� SERVICE <br />— _CUSiOMEH'S _ TUB� CALL CHG. <br /> ..� 7AX — --- — <br /> i <br /> LIAIRED WARRANTY:Ail materials,parts end equipment are warranted by the manufacturers'or suppilers'written warranty anly.All <br /> lebor peAormed by the above nemed company is warranted for 30 days or as otherwise indicated in writing.The above named company <br /> mekes no other werrentles,ezpress or implled,and its agents or techniciens are not authorized to make any such warranties on behaH of above <br /> named company. TOTAL <br />
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