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M. <br /> JrT Ch <br /> Office: 813-779-7508 Fax: 813-779-7504 Lic#CAC1815498- Date: <br /> Customer Name -N i UjCl a �� <br /> Address �� T�i S-F Zip Code <br /> Job Location — �� Subdiv: <br /> p <br /> Phone# {�_ r Alternate# <br /> Existing Equip. <br /> Mod.# -SERX <br /> Mod.# SERX <br /> Permit # <br /> Type of Unit: M/S S/C �1. !> S/S PAC Ton: 3 •S Seer.-1 L <br /> Y N <br /> (� ❑ Duct Work Jype of Duct Work: Metal Flek MH flex Duct Board R- <br /> ❑ Rf Float ./Ate/: <br /> ❑ Heat Shield: ter , Wire Size Breaker Type <br /> Id ' ❑ Pad. Elec. Panel Brand: AH Cond. PAC <br /> ❑ [� i neSe : �� Prog. <br /> . ❑ Mastic Seal: Airhandler Location: AHU L " H"W <br /> ❑ Light& Recp Return Air " Duct Size " <br /> ❑ Service Platform: Access/Closet Door: Attic Height/Closet Size: <br /> Attic insulation Depth = R Value <br /> Special Notes: e teMbu — 1 x-X .5 1IV C W <br /> kAJ <br /> fA <br /> Bryant$ , Rheem $ .Comfortmaker$ <br /> Factory Rebates: <br /> Warranty: 10 year Compressor and Parts & 1 year on labor N <br /> 10 year Compressor its&2 ye on r <br /> c q <br /> Air Tech Services Approval J date <br /> Customers Approval date j-V- .l_ <br />