Appliance Brand/Model Panel-Ready Finalized Notes
Refrigerator __________ ☐ Yes ☐ No ☐ __________
Range / Cooktop __________ ☐ Yes ☐ No ☐ __________
Wall Oven __________ ☐ Yes ☐ No ☐ __________
Dishwasher __________ ☐ Yes ☐ No ☐ __________
Microwave __________ ☐ Yes ☐ No ☐ __________
Hood / Ventilation __________ ☐ Yes ☐ No ☐ __________
Other: __________ __________ ☐ Yes ☐ No ☐ __________