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18-19773
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18-19773
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Last modified
2/7/2019 2:28:59 PM
Creation date
2/7/2019 2:28:58 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
18-19773
Building Department - Name
STEPHENSON,JON F
Address
5328 3RD ST
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!� SERVICE INVOICE <br /> LOCATION.DF WORK ___... :-_ YSCA Yes_t_, No _ <br /> CHECK LIST 19-2 31 NAME <br /> ❑ COMPRESSOR IrTe ch ADDRESS <br /> ❑SUCTION PSI <br /> ❑HEAD PSI �� • ! <br /> DvOLrs AMPS 5- v A.1 ,,,� <br /> vA /0 81.3-779-7.508 WORKTO BE DONE-CODE <br /> ❑ELECTRICAL CONNECTIONS �p P.O. BOX 1120•ZEPHYRH)LLS FL 33539 <br /> ❑CONTACTS TIGHT d CLEAN <br /> ❑OIL LEVEL dCONDITION gILLTO FL State Lic. #CAC1815�498 � Date 7 <br /> ❑ CONDENSER COIL <br /> ❑CLEAN colt d CHECK PIN COND. NAME �... SERVICE COST ENVIRONMENTAL CHECK UST <br /> ❑TNT 'F WO •F v. (CAI 53, L. <br /> TECHNICIAN <br /> ❑ REFRIGERANT STREET PHONE WORK PERFORMED OTY. UNIT PRICE <br /> ❑LEAK 0 CHARGE <br /> ❑ FAN AND MOTOR �Sj� <br /> ❑VOLTS AMPS CITY , STATE . - ZIP RECLAIMED <br /> ❑ELECTRICAL CONNECTIONS VACUUM PUMP USAGE <br /> 0 coNmcrs TIGHT&CLEAN MAKE _ MODEL SERIAL NUMBER <br /> ❑FAN PULLEYS(AwusT BELT) rl ,I .� OTY. MATERIALS <br /> ❑CHECK LUS BEARINGS d MOTOR os /V <br /> 0 Orm MAKE MODEL SERIAL NUMBER <br /> ❑ EVAPORATOR COIL9.4jr,;zq/,7.327&dA ,5 REFWSEPANT It <br /> ❑CLEAN COIL d CHECK PIN MAKE M DEL SERIAL NUMBER <br /> ❑ENT OB,, -F I LVG DB_'F 0-/241# t- +�^ n� 49 <br /> ❑ENTWB_�•F LVGwB_°F [� [! --zl fJ7! <br /> ❑ CONDENSATE AREAS MAKE MODEL SERIAL NUMBER <br /> ❑INSPECT d CLEAN DRAIN PAN r <br /> ❑INSPECT CLEAN DRAIN DESCRIPTION OFWORK PERFORMED <br /> ❑ AIR FILTERS hwg- C W <br /> ❑CLEANED ❑REPLACED <br /> atluFILTER SIZE <br /> ❑ HEATING ASSY. J <br /> ❑BURNER d HEAT ExCHANGER <br /> ❑FUEL SUPPLY d PRESSURE <br /> ❑PILOT ASSE]ABLY y l�A.yC2I <br /> ❑FLAW AWUSTMENT❑ h 1..(} <br /> PRIMARY R ti <br /> RELAY d FLUE V e / �A+ Q0 i nl , <br /> ❑FAN a LIMrr SwfTCH OPER. //ry��,,, <br /> ❑BLOWER ASSENIBLY S / <br /> ❑RV VALYE I z <br /> ❑STRIP HEAT <br /> ❑DEFROST CYCLE <br /> ❑ ELECTRICAL COMP'TS <br /> ❑RELAYS 13 CONTACTORS <br /> ❑OVERLOAD ❑PRESS SWITCH m <br /> ❑ THERMOSTAT <br /> ❑O.K ❑REPLACE Time of Arrival: <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 125A PER MONTH, TOTAL SUMMARY <br /> ANNUAL PERCENTAGE RATE OF 18%WHICH IS ALLOWED BY LAW.I AGREE TO PAY ALL COSTS AND REASONABLE ATTORNEYS FEES <br /> IF THIS INVOICE IS PLACED IN THE HANDS OF AN ATTORNEY FOR COLLECTION,CUSTOMER RECEIVED NOTICE OF CONSUMER TOTAL <br /> RIGHTS UNDER CONSTRUCTION INDUSTRIES RECOVERY FUND. MATERIALSTOTAL <br /> LABOR <br /> SERVICE <br /> CUSTOMER'S SIGNATURE CALL CHG. <br /> TAX <br /> • LIMITED WARRANTY:All materials,parts and equipment are warranted by the manufacturers'or suppliers'written warranty only.All <br /> labor performed by the above named company is warranted for 30 days or as otherwise indicated In writing.The above named company <br /> makes no other warranties,express or Implied,and its agents or technicians are not authorised to make any such warranties on behalf of above f1 <br /> named company. TOTAL Q(/ t°0 <br /> t <br />
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