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09-9705
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09-9705
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Last modified
1/10/2011 10:11:51 AM
Creation date
1/10/2011 10:11:50 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
09-9705
Building Department - Name
BOLLENT, MICHAEL & TERESA
Address
6849 NORTHLAKE DR
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SENICA MR CONDITIONING, INC. HVAC <br /> SHADY HILLS SERVICE ORDER <br /> - SPRING RING HILL, FLORIDA 34s46 10 u� <br /> STATE LIC. #CAC1815564 <br /> 1- 800 - 897 -2335 • www.senicaair.cam I Q CE <br /> HERNANDO (352) 686 -6166 ''t` G <br /> PASCO (727) 856 -0058 / 17 3 9 0 9 <br /> BILL TO <br /> J -THIS WORK IS TO BE <br /> r;; £ • Iiii G C.O.D. ❑ CHARGE ❑ NO CHARGE <br /> MAKE MAKE <br /> ....._ ........ ......._......_......__...._._. MODEL <br /> ...._..........._.......... _....__._..____........__....._ MODEL <br /> '�) I\ SERIAL NUMBER <br /> NAME V \ SERIAL NUMBER / <br /> • <br /> CI Ty r . V • <br /> ' 9 . 4 (A ) Va , DAT <br /> ENVIRONMENTAL CHECK LIST WORK PERFORMED <br /> ] PROMISED WORK PERFORMED 'QTY. TYPE/DISPOSITION CONDENSING UNIT COND'SATE DRAINS <br /> V - 7 3 (l . CALL BEFORE , ❑ RECOVERED CLEANED <br /> A S OU( ❑ A.M. <br /> LEVELED MAIN DRAIN <br /> CJ ❑ P.M. 10 RECYCLED REPAIRED <br /> TECHNICIAN,( ED BY ! CLEANED COIL MAIN DRAIN <br /> r ❑ RECLAIMED CHECKED CLEANED <br /> CHARGE PAN DRAIN <br /> WORK TO BE PERFORMED ❑ RETURNED REPAIRED REPAIRED <br /> LEAK IN COIL PAN DRAIN <br /> r g / ❑ DISPOSAL REPAIRED <br /> LEAK IN COPPER FURN. OR FAN COIL <br /> G / � \�` ❑ DISMANTLED <br /> !; C a ❑CHANGED OUT/REPLACED TOTAL $ r REF. REPLACED BELT <br /> CHECKED ADJUSTED BELT <br /> QTY. MATERIALS & SERVICES UNITPRICE AMOUNT .DESCRIPTION OF WORK. PERFORMED CHANGED REPLACED <br /> PULLEY <br /> REFRIGERANT R LBS. I I Z �/ } r../ A c ED <br /> ADJUSTED <br /> ..-_ ................... ..._.........__._..._...._...._ ._.__.. .._ _. .....__..._.__ t . ._._.. -.. ._:__._.._._....__._.....__ ......__ PULLEY <br /> BEL USTED <br /> BLOWER <br /> D <br /> J ... .... ..__. . .. ..._ ... ...... I <br /> I Fe [ 1(....11._ PLACED <br /> co / REPLACED <br /> . .. CONTACTOR BEARINGS <br /> /'� (� /� /� . � I I REPL. STAR <br /> - r . _....._. ..._......._.._ ..............._ T <br /> .._... ....... ._ .- `- ] X71 412, C.. RELAY OILED MOTOR <br /> R ^ I I .... I N Pk S <br /> 1 / /L J L � _ CAPACI OILED BEARINGS <br /> / 4 -C 1 f/ icy' I /I REPLACED RUN CLEANED <br /> C .._.......... .. .. 1 . . ....... .._.._.._.._._.__. ..__.._....... (� CAPACITOR HEAT EXCH. <br /> ADJ CONTACT REPLACE <br /> 3......[3A:.._......._ �j....__. :.._ :;, <br /> _.__,. • __ . ___ .... - Q4 OR HEAT EXCH. <br /> ED <br /> I I WIRING CL J�. PILOT <br /> ._..._ (.._....._ .... Imo.._. <br /> .... .._. ._. ...... ...._...____.._._.I _.._.__......_._._.I_.._.._. �I `- _ _ _ _ .- ..... REPLACED REPLACED <br /> 1 — L- ` , I I <br /> COMPRESSOR S <br /> MPR VALVE <br /> THERMOCOUPLE <br /> 'n i .. - REPLACED <br /> I e r } /� "�.__. _. ��•�._... EVAPORATOR COIL ....__. _.. VALVE <br /> ........._......._._....__..._ ................._....._.._....._........_. ._.....__..- ..._..._..._...._.. I I 1 REPLACED CLEANED - <br /> EXP VALVE <br /> .. .. - .. CA <br /> I I ADJUSTED BURNERS <br /> EXP VALVE DUCT <br /> .. . .. -:� - ._......__.... -. REPLACED <br /> FILTERS x x I I _ _.__.._._ - ..- .. —...._ CAP. TUBE REPAIRED <br /> _... I..._... .._..___....._.__.._..I_..__.._ _ _.. _._.._...__:.........._.__......_ ._....._..__.__.__.._...._..._. CLEARED ADJUSTED <br /> P. TUBE <br /> FILTERS x x I I REPAIRED <br /> _.._.._........._..)_.___..._... _.........._.._._.._.�...._..._ /II COIL LEAK THERMOSTAT <br /> REPAIRED <br /> BELTS I COPPER CONN. REPLACED <br /> I - EC OM ND16NS CLEANED COIL ADJUSTED <br /> TOTAL MATERIALS j ' LEVELED COIL <br /> IAJ .1 <br /> ELECT. LABOR . HTR. CLG TOWER <br /> ' ' RATE AMOU _ _ <br /> I REPLACED LINK CLEANED <br /> REPLACED KLIX. <br /> I REPAIRED WIRE PUMP(S) <br /> REPLACED CONT. GREASED <br /> I <br /> REPAIRED <br /> MArERLALSALABOR MAV BE <br /> LIMITED WARRANTY: All materials, parts FILTERS I ❑ CLEANED ❑ REPLACED <br /> CONRNUED ON OTHER SIDE TOTAL LABOR <br /> TERMS and equipment are warranted by the Ts, SUMMARY <br /> manufacturers' or suppliers' written warranty <br /> only. All labor performed by the above named TO ' .- <br /> company is warranted for 30 days or as MATERIALS — <br /> otherwise indicated in writing. The above named TOTAL <br /> company makes no other warranties, expre LABOR <br /> I have authority to order the work outlined above which has been satlsfactarily completed. I agree that Or implied, and its agents sar— teCfflici ns ar ? i r � <br /> Seller retains title to equipment/materials furnished until final payment is made. If payment Is not made not authorized to make any SU I I <br /> behalf of above named corI n <br /> as agreed, seller can remove said equipment/materials at Seller's expense. Any damage resulting from on beh <br /> said removal shall not be the responsibility of Seller. y TRAVEL <br /> ❑ REGULAR ❑ WARRANTY CHARGE <br /> ❑ SERVICE CONTRACT TAX _ <br /> j' ` <br /> p p5+��II_y't�1�/ ^^ <br /> CUSTOMER SIGNATURE DATE �V FI.Q.i V TOT / s - 4 C.2_ <br />
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