Worksheet for integrated combo system design – Lifebreath 4TONDHW(T) User Manual

Page 36

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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

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