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•� lrTech <br /> � <br /> Office: 813-779-7508 Fax: 813-779-7504 • Lic#CAC1815498 Date: <br /> Customer Name & <br /> Address ��� �� �f�e�-f Zip Code <br /> Job Location ,ph����1�5 Subdiv: <br /> Phone# '� 1 51 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 jype of Duct Work: Metal Flex MH flex Duct Board R- <br /> ❑ ®Moat S W: <br /> ElHeat Shield: Heater KW: Wire Size Breaker Type <br /> EY�E] Pad: Elec.-Panel Brand: AH Cond. PAC <br /> � T stat: Prog. C!:on-:p7roj <br /> ❑ CV Line Set: <br /> �❑ Mastic Seal: Airhandler Location: AHU L_" H_" W_" <br /> ❑ 's Lieht& Recp. Return Air " Duct Size " <br /> ❑ Service Platform: Access/Closet Door: Attic Height/Closet Size: <br /> Attic Insulation Depth = R Value <br /> Special Notes: <br /> Bryant$ . Rheem $ . Comfortmaker$ <br /> Factory Rebates: <br /> Warranty: 10 year Compressor andParts& 1 year on labor 1_ <br /> 10 year Compr I r a s & 2 y r on labor <br /> Air Tech Services A roval date <br /> Customers Approval date <br />