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<br />Equipment Survey Sheet <br />(~ustomer #~~ Name ttJ \ rJ ~4lSo~~ <br /> <br />Date 2..1 (ilo, <br /> <br />O~Sw~~ . <br />[J STRAIGHT COOL ~ HEAT PUMP'tQ SPLIT SYSTEM 0 PACKAGE 0 FURNACE <br />(J VERTICAL )'WORltONTAL j , <br /> <br />Model # <br />Serial # <br />Manufacturer <br />LoCation of Unit <br />Dimension of Unit . <br />Attic Access <br />Closet Dimensions W <br />Closet Door <br />Heater tWI ' <br />_ Wire Size <br />, ,Breaker Size <br />Breaker Manufacturer <br />Disconnect Existi <br /> <br />. Existing Refrigerant Une'Sizes: Liquid Line 114 511'a@ Suction Line sro(fj)> 718 1118 <br /> <br />How are Unes Ran: 0 Through Slab ~hrough Attic Existing Slab'Size ~ X L ~ <br /> <br />Return! Supply: piQuctboard 0 Metal <br /> <br />AHU Stand 0 Use existing 0 Install New'-'Is Stand Uned: 0 Yes n No (] NA <br /> <br />, . Folding Staircase: 0 Yes RNo 0 NA <br /> <br />Thermostat 0 Vertical 0 Horz Thermostat Wire 0 3 Wire 0 4 Wire 0 SWire 0 8 Wire <br /> <br />Condensate Drain~ttic' 0 Slab ~Use Existing 0 Replace 0 Need Condensate Pump <br /> <br />Horizontal Dra~n Pan 0 Use Existin~eplace Hanging Kit 0- Use Existin9AtReplace <br /> <br />. Does Unit Have 3' Work Plalfonn : DYes)(No D'NA 24"Walkwayto Unit : DYesWNo DNA <br /> <br />Is Crane Needed: 0 Yes~o <br /> <br />Is There an Existing ECU : 0 Yes 'yl No 0 Disconnect 0 Reconnect 0 Replace <br /> <br />Is AHU Located over Water Heater: 0 Yes ~o <br /> <br /> <br /> W D H <br /> X <br />H W 0 H W 0 H <br />X X <br /> KW KW <br />Z <br /> SUFS <br /> DYes 0 No <br /> <br />Terms: 0 COD $ <br /> <br />o Financed 0 CC <br />