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17-18641
Zephyrhills
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2017
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17-18641
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Last modified
5/2/2018 7:08:39 AM
Creation date
5/2/2018 7:08:39 AM
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Building Department
Company Name
ZEPHYR HEIGHTS
Building Department - Doc Type
Permit
Permit #
17-18641
Building Department - Name
POLING,ELLIS & MARGARET
Address
39028 PARK DR
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.. � <br /> SERVICE INVOICE LOCATIONOFWORK YSCA Yes / No <br /> �_ . <br /> CHECK LIST 178 2 7 NAME <br /> ❑ COMPRESSOR � �i�T�C� ADDRESS <br /> �S��T�ON PS� � � ,� � � 4 V�b��,� �Yls <br /> ❑HEno Psi '� ,r r T ; WORK TO BE DONE-CODE <br /> A � <br /> ❑VOLTS IIMPS n 813-779-7508 ` I <br /> ❑ELECTRICALCONNECTIONS �� � � GD P.O. BOX 1120•ZEPHYRHILLS,,FL 33539 .r.J��t�.� <br /> ❑coriracrsn�rtrac�aN ' ` v <br /> ❑OILLEVELBCANOfT10N BiLL� FL State Lic.#CAC1815498 �Date <br /> ❑ CONDENSER COIL �ME <br /> ❑CIEAN COIL 8 CHECK FlN COND. SERVICE COST ENVIRONMENTAL'CHECK UST <br /> p erir 'F WG °F � , � TECHNICIAN <br /> ❑ REFRIGERANT S�E� PHONE WORKPEHFOiiMm OiY. UNRPpICE <br /> ❑ FAN A DcMOTOR PGl-�� � —� roRCH us�ce <br /> ❑v o�T s A M P S C I T Y STA ZIP �cwMeo <br /> ( �''7�� � VACUUM PUMP USACaE <br /> ❑ELECTRICALCONNECTIONS '� / �J'"�" Sp <br /> ❑coNracTs nc►rr a c�w AKE MODEL SERIAL NUMBER <br /> ❑FAN PULLEYS(ADJUST B0.� 0 �`1 � �- ' � � .,,� QTI: MATERIACS <br /> ❑CHECK,LUB BEARINGS&MOTOR y� ��t <br /> ��� MAKE MODEL SERIAL'NUMBER <br /> ❑ EVAPORATOR COIL R}t'IT 3�D�7 1 TA � 17/ .��� REFR�GERAM 0.. <br /> ❑CLFAN COIL 8 CHECK FlN MAKE MODEL �SERIAL NUMBER <br /> ❑ENTDB_°FI WGDB_°F �I�/1�0,. <br /> ❑ENT WB_°F WG WB_°F �� Dv . <br /> ❑ CONDENSATE AREAS �E . MODEL SERIAL'NUMBER <br /> ❑INSPECT d CLEAN DRAIN PAN ' <br /> ❑INSPECT 8 CLEAN DRAW DESCRIP'T10N OF WORK PERFORMED <br /> ❑ AIR FILTERS <br /> ❑c�weo ❑R�ucen <br /> FlLTER SIZE � � <br /> ❑ HEATING ASSY. �'Y� . �1 �' (.�,� e <br /> ❑BURNER&HEAT DCCHANOER � <br /> ❑RIELSUPPLYBPRESSURE �S�II /`� . �� ✓ <br /> ❑PLLAT ASSEMBLY � <br /> ❑FLAME A0.IUSTMENi Q` /`, /�, ! �`-�C <br /> ❑PRIMARY RELAV 8 RUE a `' D�--' yil I` �' �� ' !U� �-+� I( � �/wt1�1 �-1 r'�^-'' <br /> ❑FAN fl LIMR SWfTCH OPER <br /> o�,����,a� m�-�� s� �o,� P� , T �- � <br /> ❑STAIP HEAT ' <br /> ❑DEFHOSTCYCLE � <br /> ❑ ELECTRICAL COMP?S <br /> ❑RELNYS ❑CONTACTORS <br /> ❑OVERLOAD �O PRESS.SWfTCH � <br /> ❑ THERMOSTAT <br /> ❑O.K ❑REPIACE ' TIrtIB Of ARIV81: _ <br /> ❑RELOCATE ' <br /> Time of Departure: <br /> RECOMMENDATIONS I HAVE AUTHORITY TO ORDER WORK AS OUTLINED ABOVE.THIS INVOICE IS SUBJECT TO A FINANCE CHARGE OF 1 1/2%PER MONTFi. TOTAL SUMNIARY <br /> ANNUAL PERCENTAGE RATE OF 18�WHICH IS ALLOWED BY LAW.I AGREE TO PAY ALL COSTS AND REASONABLE ATTORNEY'S FEES <br /> IF THIS INVOICE IS PLACED IN THE'HAND5 OF AN ATTOHNEY FOR COLLECTION.CUSTOMER RECEIVED NOTICE OF CONSUMER TOTAL <br /> MATERIALS <br /> RIGHTS UNDER CONSTRUCTION INDUSTRIES RECOVERY FUND. <br /> TOTAL <br /> LABOR <br /> SERVICE <br /> CUSTOMER'S SIGNATURE CALL CHG. <br /> , TAX <br /> LIMRED WARRANTIf:Ail materials,parts and equipment are warranted by the manufacturers'or suppliers'written warranty only.All <br /> labor peAormed by the above named company is warranted for 30 days or as otherwise iodicated in writing.The above named company <br /> � makes no other warranNes,express or impiied,and Ns agents or technicians are not author¢ed to make any such wananties on behaB of above � <br /> named company. TOTAL 'I�Q <br />
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