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} �r To C:h <br /> Office:813-779-7508 Fax: 813-779-7504 Uc#CAC1815498 Date: LD Z.'iV <br /> Customer <br /> s-Name I` f .L <br /> Address Zip Code i �jfv <br /> Job Location Z v rh i t S W,0- Subdiv: <br /> Phone# g 3- ._'- g Alternate# <br /> Existing Equip. L �l <br /> Mod.# �!Y' JqAJ f Q SER.# <br /> Mod.# .� CSJIO l SER.# <br /> Permit# ' <br /> DIpe of Unit: M/S S/C 11VP) /S , PAC Ton: Seem `f o <br /> N !f 30 <br /> ❑ Duct Work Jype of Duct Work: Metal Flex IYIHJIex Duct Board R- <br /> ❑ EL2a.t�LtiL• <br /> ' Heater KW: Wire Size Breaker Type L4All��- <br /> If ❑ Heat Shiel <br /> ❑ Elec. Panel Brand: AH Cond. PAC <br /> ❑ Line :,- ( 445 T-s Frog, <br /> 1 ❑ Mastic Seal: Airhand er Location: AHU L,"' H"W_" <br /> ❑ Light&Reco' Return Air " Duct.Size " <br /> ❑ Service Platform: Access/Closet Door: Attic Height/Closet Size: <br /> Attic Insulation Depth =R Value <br /> Special Notes: . 13, L 2 K t{ Ury p)P/1.. <br /> fireCAA 1 <br /> C G <br /> Bryant$ . Rheem$ 3 zoo - Comfortmaker$ ,$ <br /> Factory Rebates: <br /> Warranty: 10 year Compressor and Parts&1 year on labor C YSuTw <br /> 10 year Compressor and ear on I or <br /> Air Tech Services Approve date <br /> Customers Approval nLJ date <br />