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CMC 1249406, FC 1427670 ��L�d/l/� (��✓!��v�� p� ; IN�TALLATION WORK ORDER 72 8�20Q � r � � • ' � (�13) 2�2-373; �I�h� ��C�� 7 , �7 , ((� Customer N e � Date ' � � C�S�# ��1./ �� i'�� 1 Ad r ss I �/� � � ( ) City State Zi de � � � Phone Phone Scheduled Installation Date We hereby a ree to furnish and you agree to pay for all n �essary equipment,materials and or to install the following items listed in accordanc with the cond tions and specifications set forth on the r erse side. ' !� ' Option #1�� Option#2�,�- � Option #3 AH �(,, 'V ��C�� CU �� W/ KW W/ ,, KW W/ KW ti�: -_ ____`. __ '__ -' __._.� ._.._' "__-'__-_____..__" ___ ' _`_' __ .�.__ _ " .. ,. ._... _i_"�_"_i.._ r . _ . PRICE � ��-- � � � OPTIONS + - + - + - � + - + - ,� + - + -. ' + - + - TOTAL � ,� � �/ "• � � � Warranty: Comp arts.�.Labor Warranty:�Comp �P ts�Labor Warranty: Comp Parts Lab� �Refrigerant recovered and disposed of as quired by law. Complet ean up including use of floor savers to protect your home and rer�ov I of existing equipment. All work leted is done ' ccordance with existing codes and permits, as required. • � � - , � � Hurric ne Tie Downs ❑ ig. ' ) ❑ Drain Line , e�o��ect_New ❑ Supply plen econnect w o New ❑ Lifeti e equipment slab ❑ Re ig.pipe cover �ddew Plywood Deck Return plenum nnec New �Soun isolation pads ❑ Expansion valve ❑ Ceiling saver kit(pan&float) �R move existing equipment ❑ A/H hip/Disconnect ❑ Tape/5eal Duct ) ❑ Main drain safety switch ❑ A/H Stand ❑ Coffin Box ❑ Cr'U hip/Disconnect ❑ T-StBt Wlfe_Reconnecl_New ❑ Attic Light ❑ New Outlet ❑ Insulate Return Box ❑ Digiia T-stat Conn.to exist.elect. ❑ Support attic equipment ❑ Vertical ❑ Horizontal ❑ Flood one ❑ IAQ ) ❑ Crane/Stories Reach ❑ Access ( ) �reaker Brand Size A/H�� Size C/U �Nire Size A/H � Size ClU� - - --- - _ -- - - - _- - - _ - - -- - - •--=�= - - - - - : �j'•.• • _ �. ._- _ _ - _ - _ - - - - - - - � :ifl�mate�Arflfe�f o � :r` ' : .:�-t" .-=_--=-: __-_=_ :�.�i�:_�=:::::::;�::--:= . n_Gu�.a_ _ e;`-.-= :=_�:=�=�=:==;�I:f��a=€1��can�ifiaiial:�li�ne��:Ba�.`==;`��_ar�_eE__ . ---r��--=_=-_:===�===-=-=-==-=-�-�---=-:-= : - - '�------- - -_-� __- _ _ - - --- - _ - - - - _ - - -_ _ - _ - - - - - - - - - --- -- =- - -�-=-=_=== _ - - - -- - ___:_�: _-: _,_-. _ _ _ _ _ -. �rYrfo��Guar�a�fe�::::.:::::: :.I :_;_:�=::::::_:::_=:_ = : :�;h :.r_-:: :�: :: - - - - - - - :��I�i'��:_�'t��_ _._.- �- ---- ------------ - - - - - - - - - - - - - ---�.___��.S�ru�e.Guai�rt`�e�::=�=�:=:=_=::�=:-:=:=:-:=:=:=:=====: ________________________ - - - - - - - --- -----�-=-=-====�-=-:---�---=-- - - - - • . . . - - - - - � - - ----- - ----- - - - -- -��-- - - --- - ---------------�------�-.------ � - � - - - AD TION L: INSTALLED � � > ��` a � AMOUNT: $ $ REBATE $ Initials � S is noi responsible for any existing ductwork. (mailed to ho � ner) f 'I J .� g T By: Date: Date: Custnmei Campany Represenlative Terms: Cash ❑ Check N ❑ CG� Exp. ❑ Financed through: Note:Beginnin 20�0.R-22 equipment wtll no longer be produced. Replacement parts and retrigerant will be available,however,equipment cannol be mixed. 410A is the new refriger � E3UYER'S RIG T TO CANCEL.ihis is a home solicilalion sale,and if you do not want the gootls or services.you may cancel Ihls agreemenl by providing written notice to the seller in person,by tele•ram,or by mail.This notice musl indicale that you do not want lhe goods or services and must be delivered or postmarked belore midnight of the third business day afte you sign tl�is ac reement.It you cancel this agrePment,the seller may not keep all or part of any cash down payment.