1870 Bath Ave.,
Brooklyn, NY 11214
Air Conditioning / Heating system
The following information is required in order to determine which type of Air Conditioning / Heating system that the property currently has in place.
Property Name:
Address:
City/State/Zip:
Phone:
Fax:
Contact:
Owner or Mangement Company Name:
What brand name |
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currently exists? |
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Model# |
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Btuh Capacity, Cool/Heat |
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Square Feet to be conditioned |
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___________________Square Feet |
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(Length x Width) |
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Voltage |
115 230/208 277 |
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(check appropriate voltage) |
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Amperage |
15 |
20 |
25 |
30 |
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(check circuit breaker) |
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Heat Pump |
Yes |
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No |
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A/C with electric heat strip Yes |
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No |
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√ |
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Age of Unit |
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What type of wall construction exists? |
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Frame |
Masonry |
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Panel |
Glass |
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Please provide the following dimensions
*Note: Measure outside edge to outside edge
Wall Sleeve
A= |
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B |
B= |
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C= |
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A
C
Please provide the finished wall dimensions
What is the thickness of the wall Does any of the sleeve sit outside?
Power Cord Plugs
250V Rating Power Cord Plugs with LCDI Device NEMA 6 Configuration
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15 amp |
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20 amp |
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30 amp |
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277V Rating Power Cord Plugs
NEMA 7 Configuration
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G |
W |
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W |
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30 amp |
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20 amp |
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Please provide any additional information that may be needed: