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�Q�isad�z��s��Z �1NAP�WAP/LIHEAP Work Order
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<br /> Cltent Name: Portta Merrtman C�Lrtty: PASCO.. .
<br /> Atldnsx 5813 12th s� . 2ephyrhflls F� 33b42 owell�ng-rypa: Site Bullt
<br /> p��N�� 813-446-3652 Year Buiit '1 g48�..
<br /> li�m. nsta .. ... .
<br /> � Yss No Requlred�Measuies� ' �� '
<br /> 1 ' ;X � Pleak+dFNAC�710ars-HeeUCool ' Ma(e�ial Labo
<br /> Instal• Leave� '��. '
<br /> �2 � X Install towFlowShotilerhead s Hand• - Fie ular.
<br /> � 3 . X. InstaltAerators Kf�hen� = �, .Bath• -
<br /> 4 X InaulateWaterHeatQ�(�r�es U Ta 10 FeetFrom� �HotMdCokl�flnes'
<br /> 8. X ' 1Nater Fieater . .. ... ...
<br /> .. Requlred Measures'�fotdl:,
<br /> �t0!� • Itra on aasures: Not to axcee 53;000 MBL: � ' -' ��
<br /> t Yaa. No Ceiftn Pioor 8.Watl Re atrs Not To Exceed 'f 600�M8L �'
<br /> H X GauOc M��+� Lebor
<br /> 7 _.X �►� FeeC - • _
<br /> IN kR 3 n bathrtn �10 . .
<br /> 8 X Ocor Re � #Re sf�• . �
<br /> 9 � 7� Oaor lace lace badi�door&.lodcset �#: face'... ._ 1 . -
<br /> 10: X Floot "eir -• ' " Y -�-- ' -.--
<br /> . t i X� 7TuesFio �fnstall '
<br /> 12. X. Wall •- . -
<br /> 13: X Weathershi - "�Insiap
<br /> 14 . X Wfndow alr #, -
<br /> 15 X ' Wutdow Replace Z• 2 e, i r[ . . . �.. �faca . .:5: . a
<br /> Itam • • Infiltratton Measurs's 7:►fa1: .... '
<br /> Yes o W,e,athgf�t�oq MAes�res � --
<br /> '15��.'X.� '... ACJC ItuuleqonTo R 30 ExlsUn R• 11 Instalt_ 240 S Maln etttc Matedat �b�
<br /> 16 X IIVea(F�et•Strf :�'Irigitlate Attfc Ao�ess• - - VWS'6 IrutaU 4:icam behtnd:each a�fe dooir .
<br /> 17., . ., X: Fioor•hsulallon-R-18 InstalC ' - .
<br /> ;18 .': �;X;- DensaPadtWalfs•. . " . 7nstall: - S -
<br /> 19 X 5oterVNndowSaeer►slFliin- Uistal� 'Insfalh °s ° -
<br /> ;,21' X CH:Bu�s��� _ #To MsffiIt. �. -
<br /> ;� "X::, See1,DUdS - , . "� �
<br /> ��:. .All retuma 8. y��. „, r
<br /> �'j x ' ' ��s• . . , Re ce Ne�i Onder harie
<br /> '24 • ' X StarRefrt eralcr.Exlstln ca!
<br /> � X . Coof � ow - BT111.10v' s ! -
<br /> ' � `=X- Hset/Cooh Wlndow AC . .. . _ _gN 22ov -
<br /> 27 X � . en+lce Ce�l FIeaLCool � -
<br /> 2B. ..X.. � /��..�,.�1u-�.,I/���� - ._ .
<br /> K11YWi1�W/VW�. . . =, J _ ..- . .. ,
<br /> 29. X. Vented'GeaFU ace .
<br /> 30 ' X• Venh�d Geg �''ce Heater . -
<br /> '.31 .. X WaterHeate� aJr -
<br /> �32� X Water �eatef�Re lace Eicistln Gat�. 3 Re lace 9 e!d en.. . r . ' -
<br /> 33 . X. Attic.YentAation. ' ... .. 1 O
<br /> - ,
<br /> 34`. X Mobiblioit�eRoofCoat - S .:Ft �� ± Y"' -
<br /> ttem WeattieitmHon Meastues7o�l:.
<br /> '� •. � o Haalth&3afety; Not To Exeeed•S600.00 Material8 Labor
<br /> � X Smoki Alarnis f�e��� • RAalerlaf Labar
<br /> 36- X COAlartni Ins Ik
<br /> �H X Lead Sefe Rractice's OooFs"SVlrtridows, .
<br /> 99 X �Exhaast Fans .
<br /> 39, :'X CombtuttDk �l. - , , . . . •° •
<br /> �_ .•.- : .x. . ..:��.��,�... ..�,.. . " . . ._... ..... . .. . . . .,_... ..__ .. ....
<br /> ,,.x -
<br /> 41 �.. U.. . .. _.... �. . -. _. .. . .. . , . .._ .. .
<br /> , , : <- ...,- ._,
<br /> �4x Remove Old F.umece . " " `; .: . .
<br /> X' ..
<br /> . ,. '.. .....; ., . , ... - ... . - . _. ..
<br /> . . ,
<br /> 43„ ._X Mlnor:Plilmtif •" .. : . �(ace outside fa'u`cat" , .. . _ + _
<br /> 44.v:.,:.. ..,X.. Mbror E7eifrlcal' ,. ; , _.. • . : . ,..._ ,. _... .. ..
<br /> .� . .
<br /> ,, , ... ,.. . . ., _ _ _
<br /> - � � �Healtti 8 Safety Total: -
<br /> WAP TotaL•
<br /> LH-Tohal:
<br /> Confractar: , Qate:
<br /> MFC'S: �� .
<br /> Grand.Total:
<br />
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