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� <br /> �� irT ch <br /> � <br /> � <br /> !►�'�� C,nm�rza�cciacr <br /> Office 813-779-7508 • Fax 813-779-7504 • Lic #CAC1815498 <br /> CustomerName �l�lr�y �;�-��� <br /> Address `-l���C`� ��'� `� ZipCode >;:`-i�- <br /> loblocation_ ��F� �� ,r� ,�,��E, Subdiv: <br /> Phone# Alternate# <br /> Existing Equip. <br /> Mod.# SER.# <br /> Mod.# SER.# <br /> Permit# <br /> INSTALL– (circle one) <br /> Tyqe of Unit: S C� H/P S/S PAC Ton: �_ Seer 1 �a <br /> � <br /> Heater KW: 5 8 10 15 Wire Size �-�d�'�_ Breaker <br /> Duct Work: �ES~ NO Type of Duct Work• Metal Flex MH flex R- <br /> � YES�' NO in : YES � YES IV ^? <br /> �'�_ <br /> Heat hield: YES NO Mastic Seal: <Y�S� NO T stat: Prog. ��'N�on-�—prog.�� <br /> Airhandler Locafion• Access Size• A 'c H i h : <br /> Attic Insulation Depth = R Value <br /> Special Notes:_ �� `T��n I�'�c.IL �,,.<<-I– rn-e-�� nl� �;�r- �.�,��- + � �-, <br /> k ��c= o��-,i�l <br /> ��v� ,� <br /> Total $ � ��b <br /> Factory Rebates: <br /> Warranty: 10 year Compressor and Parts & 1 year on labor <br /> 10 year Compressor and�g� 2 year on labor <br /> Air Tech Services A roval _ �-� ' <br /> � � <br /> Pp date � �4�`-�=C� �3 <br /> �-� <br /> Customers Approval _ �� �a��_. dat���.>?3--z1°r�z <br />