|
�
<br />�;� r ,
<br />����` SYSTEM DESCRIPTION
<br /> s:�
<br />��.
<br />'w�`: HEATING SYSTEMS
<br />>_:♦::
<br />��,`" Quantity:
<br /> ,-
<br />.:�,_
<br /> ;�:;
<br /> Make:
<br />��,
<br /> � Model:
<br />��
<br />��;:
<br />�'` Fuel:
<br />� Flue Size:
<br /> ti:
<br /> Input BTUs:
<br /> Output BTUs:
<br />�'.
<br /> CFM:
<br />.�*
<br />`����� COOLING SYSTEMS
<br /> a�_^
<br /> Quantity:
<br /> Make:
<br /> Model:
<br />�;Y: Tons:
<br /> r�.-:
<br />�;S''..:�.
<br />��_; H.Power
<br />�
<br /> Ee
<br />�� FIREPLACES GAS LINE ONLY
<br />�.
<br />�}`
<br />�:e` [�Gas factory fireplace��L�G ❑ Installing a Gas Line Only
<br />�'; ❑❑ Wood burning factory fireplace with flue
<br /> Wood Stove
<br />�r� ❑ Wood stove with flue
<br /> /c,�� �L C^ c.� —� /
<br /> Brand Name ^ Model No. �/J ���- / V
<br /> �
<br />�� VENTILATION -
<br /> E��
<br /> �` No. Kitchen Exhaust duct recalculating cfm
<br /> No. Bath Exhaust(must have duct outside) cfm
<br /> No. Other Fans: Locations cfm � , va
<br /> ,
<br /> ►�, . . . .- -
<br /> FUEL STORAGE (MUST BE APPROVED BY FII2E M�RSHAL) � `'��t� t � . „
<br /> t.
<br /> �v�M�T . -,
<br />��' ❑ Installation or ❑ Removal
<br />�.;:
<br />~�� Fuel oil: gallons ❑ underground ❑ inside ❑outside
<br />��:
<br />��:F ❑ LP Gas: gallons
<br />�`:° ❑ Other Gas opening ,�.;;T;;,, _ .
<br />�:�"
<br />��' 2
<br />��>
<br />#:;:;
<br />�Y
<br />'�f,� .:. . �,... �,..} . :�. . . � .. . .. ., . �� . . . .+'
<br />� . #. � ��.. � . � ... ' ..� '� , � . 4
<br /> .
<br /> ,.,. , � . . , , ,
<br />� . � . � . , . . ,
<br /> �, . , .
<br />� "
<br /> , �
<br /> i -� �' • �` . . � � ..
<br /> E �. ' .. . . .. . . . . . ".. . . . , a axa._,.,.� . .. .
<br /> .,,..d. ��. , .,. ..
<br /> . _.:,. , . ���.�,s_«��- 4� ,... -
<br /> _ ,...,. .,�. �,..,t � .. _ . �� . . �� ° � ..
<br /> . .... .��,....._ . ' ..._._ .. � a,�,�-
<br />
|