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Lai l - ,�n'� ►ear t��� �d < <lrTeech <br /> . a. '' V CLII/��I11(JV[A.di.Ld <br /> Office: 813-779-7508 Fax: 813-779-7504 • Lic#CAC1815498 Date: <br /> Customer Name /-i"C d-0 ftpo <br /> Address '5 r act 7'�� 5f Zip Code <br /> Job LocationLoa Go)( 3gai Subdiv: <br /> Phoned� ,)~ /63- HoZ Alternate# <br /> Existing Equip. <br /> Mod.# SER.# <br /> Mod.# SER.# <br /> Permit # <br /> Type of Unit: M/S S/C H/P S/S PAC Ton: Seer <br /> Y N <br /> ❑ ❑ Duct Work Type of Duct Work: Metal Flex MH flex Duct Board R- <br /> ❑ ❑ Float S W: <br /> ❑ ❑ Heat Shield: Heater KW: Wire Size Breaker Type <br /> ❑ ❑ Pad: Elec. Panel Brand: AH Cond. PAC <br /> ❑ ❑ Line Set: T stat: Prog. Non-prog <br /> ❑ ❑ Mastic Seal: Airhandler Location: AHU L_" H_" W_" <br /> ❑ ❑ Light& Recce Return Air " Duct Size " <br /> ❑ ❑ Service Platform: Access/Closet Door: Attic Height/Closet Size: <br /> Attic Insulation Depth = R Value <br /> Special Notes: S A0 s 4-zC /�/ j <br /> 74 A ax <br /> 0c <br /> Bryant$ , Rheem $ , Comfortmaker$ <br /> Factory Rebates: <br /> Warranty: 10 year Compressor and Parts & 1 year on labor <br /> 10 year Compressor and Parts &2 year on labor <br /> Air Tech Services Approval date <br /> Customers Approval date <br />