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WORKSHEET FOR INTEGRATED COMBO SYSTEM DESIGN
Submitted For: (Owner)
Name _______________________________________
Address _____________________________________
City ______________________ Prov. _____________
Postal Code ________________
Phone ( ) ____________ Fax ( ) ___________
By: (Contractor)
Name _______________________________________
Address _____________________________________
City ______________________ Prov. _____________
Postal Code ________________
Phone ( ) ____________ Fax ( ) ___________
Designer/Signature: _____________________________________________________________________________
Phone ( ) _______________ Fax ( ) _______________ Date: D ______ M _______ Y _______
DESIGNED EQUIPMENT DESIGNED EQUIPMENT (Cooling)
VENTILATION SYSTEM (Integrated)
Back Flow Prevention Valve
Expansion Tank
Anti-scald Valve
Throttle Valve
Off Season Circulation Controls
Other
HRV
ERV
Other
Central Air Conditioner
Heat Pump
Training Courses and Forms
are available from
HRAI Skill Tech Academy
1-800-267-2231