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� � y . <br /> ^ _� � <br /> ` .�.:� ��r�.,/ <br /> C� ,.� l, <br /> � 1L �� ��� �� PACKAGE UNIT <br /> ��,+N`` � G � � Install Date � / �'1 / ( � <br /> 33 � <br /> Customer �� �� �� `e Sub Name <br /> �/� l� <br /> Address �� CJ � Lot# Cit}�i�� � Z{p,� p� phone � I��� i 3 <br /> # of Units at This Location <br /> �a.�. <br /> l <br /> Invoice Amount Due: $��Tech V D�"� Down $ On Compl. $�'� 13 � Sale Date � 0��� <br /> r ('� /� <br /> Mfr Rebate yes no If yes Amount $ � 7�./ Electric Rebate yes no Co. 1�.� .e � pmt $ p� r j� <br /> JOB DESCRIPTION <br /> NEW EOUIPMENT-HEAT PUMP NEW EOUtPMENT-AiR CONDITIONER <br /> Le¢acv Preferred P ne Leescv P rr Pavne <br /> ❑604DNXA__ �607CNXA �i� �PH3ZNB <br /> ❑ 704DNXA ❑ �o�crnc.s rnszrrs <br /> m n <br /> odman <br /> ❑ GPH14 H41 <br /> -- ❑ GPC14 H41 <br /> NEW EOUIPMENT-OTHER HEAT STRIP <br /> Package unit_ � 5 Kilowatt � 8 Kilowatt � 10 Kilowatt <br /> THERMOSTAT EXISTING EOUIPMENT <br /> Leescv Honevwell O� Package Unit ��1 n�'�� � h' Breaker Size �� <br /> ❑ T2-NHP � TH8321 U1006 ❑ S/�_ Heat Pump _ Gas _ <br /> ❑T2-PHP �I'H3210DI004 w � s �� <br /> SUPPLIES INDOOR AIR OUALITY <br /> ❑ Electrical Whip ❑ Surge Protector ❑ 24 Volt Ultra Violet Li t <br /> gh ❑ Electrostatic Filter <br /> �Slab ❑ Disconnect Box ❑ 240 Volt Ultra Violet Li t <br /> P� ❑ Duct Sanitization <br /> �'Duct System (List Materials Below) <br /> COMMENTS _ MO � 1 �C, � � � �� � � V �� r`„ <br /> Rev. O 1/31 / 10 — Production Sheet Package Units <br />