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Weatherization Program <br /> Work Write- Up/Bid Form <br /> CU- S►3 778 25/4 <br /> Client Dana Mihulec Year Built: 1930 Phone: 813- 783 -2965 <br /> Job Address: 4935 17th St Zephyrhills FI. 33542 Programs wx <br /> Priority Material Labor <br /> Measure items Description of Work Location Cost Cost <br /> 7 1 Repair flex duct (under home) Undemeath ; 10 q, o o s 0 o0 <br /> 7 2 Seal retum/supply vents Return & Supply 6,00 6 opt <br /> 9 1 Replace heat pump HVAC 1 Ci+m J 0f ` X) <br /> Permit Charge -70 <br /> i'410%) 5E EBe) SC9— bvc1 1Z14 0100 <br /> 5 /ILV E.g. Du C I - (,00124. 4 130.404 au T5 <br /> 2 ro 1\1 PA CIrAG£ WC-Total: 7 l7.3°'' 1 I tOr <br /> V T crr uN ) rzycoy. -. <br /> - ( I <br /> 'MATERIAL AND LABOR TOTAL FOR ALL PROGRAMS 3 Z 3.'� <br /> 1 1 <br /> Acceptance Of Work Plan Completion Of Work <br /> Contractor Rjab /NA(.. / Date: I Z /Z6'- O?Contractor Date: <br /> MFCS: Date: MFCS: Date: <br />