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Air Te c lh <br /> �. 0.0mmw M <br /> • #CA 1 1 4 8 Date: _`� ✓�6� <br /> Office: 813-779 7508 FFax-f81�3-'779 7504 • Li c C 8 5 9 <br /> Customer Name - <br /> Address Z;ZoN JAZZ .dd rt0<-,I?, -Z k-L S Zip Code 3;,s�1� <br /> Job Location Subdiv: ,[��f� r ��✓4ad <br /> Phone# Alternate# <br /> Existing Equip. <br /> Mod.# <br /> Mod.# SERX <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 /> i <br /> ❑ ❑ Float S/W• <br /> Heater KW: Wire Size Breaker Type <br /> ❑- ❑ Heat Shield: <br /> 0 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& Recp_ Return Air " Duct Size " <br /> ❑ ❑ Service Platform: Access/Closet Door: Attic Height/Closet Size: <br /> Attic Insulation Depth = R Value <br /> Special Notes: �L itis�G D/�,�Olc//t/�/z5 (/I./vz <br /> Bryant$' . Rheem $ . Comfortmaker$ <br /> Factory Rebates: <br /> Warranty: 10 year Compressor and Parts & 1year on labor <br /> 10 year Compressor a ear on labor <br /> Air Tech Services Approval date[� <br /> Customers Approval date <br /> I <br />