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i <br /> AirTech <br /> ��� �r CDiYU�ZRhiCIQI <br /> Office: 813-779-7508 • Fax': 813-779-7504 Lic#CAC1815498 <br /> Date: 2- t` % . <br /> Customer Name 2 o c-_gn,ar Q-�t : -14 �gA'r r-\I S <br /> Address ct M 1•Y Auz �zr l a e 6 ,�1� R; ty5 �Li Zip Code 31: ' <br /> 4ob—L-oc-ation_ J Subdiv: <br /> Phone# Alternate# <br /> Existing Equip. <br /> Mod.# SERX <br /> Mod.# SERX <br /> Permit# <br /> Tyne of Unit: M/S S/C H/P S/S PAC Ton: Seer <br /> Y N <br /> i <br /> ❑ [ Duct Work Type of Duct Work: Metal Flex MH flex Duct Board R- <br /> ❑ Float W-1 'iD <br /> ,Heater KW: Wire Size Breaker Type <br /> ❑ Heat Shield: Z <br /> ❑ Pad: <br /> Elec. Panel Brand: AH Cond. PAC <br /> ❑ Line Set-, <br /> T stat• Prog. <br /> dle ����/ AHU L—" H W <br /> Airhan r Location: —" <br /> 0( ❑ Mastic Seal: — <br /> ❑ ❑Licht& Recce 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 and Parts& 1 year on labor <br /> 10 year Compressor and-Pa t� ear,,on labor <br /> Air Tech Services Approval date <br /> Customers Approval date <br />