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� I�� j �`��S 'flll• J .6' . .� . . .. � r ... . � � :_ '� .. �;...:: <br /> ,,. <br /> ����r�`�f-��*����%fEGHANICAI;S. .Ys.�IvIS.BEI�1Gi�ST�1I:..L•ED;�in,, ,,;;:� �'��:.r,:� ':,. <br /> HEATING SYSTEMS <br /> Quantity: ' ' <br /> Make: _^��— <br /> Model: 3�5\.f�W���oQ ��V�aOO <br /> Fuel: � . ►"�`�•CF-v <br /> Flue Size: <br /> Input BTUs: 1���� <br /> Output BTUs: �� <br /> CFM: <br /> COOL1vG SYSTE�IS <br /> Quantity: I <br /> �i a}:e�. �� �il.� <br /> i��lodel: ��T'�I��`�-(g <br /> Tons: •� <br /> H. Power <br /> FIREPL,�.CES <br /> ❑ Gas Factory Fireplace <br /> ❑ Wood Burnins Fireplace <br /> ❑ Wood Stove <br /> ❑ Wood Stove 1Vith Flue <br /> Brand �1ame� Modei No.: <br /> VEVTILATION <br /> �., No. � Kitchen Exh�ust duct recircula[ine �iVV c(m <br /> � No. �� Bath Exhaust (must have duct outside) cfm <br /> � No. �_ Other Fans: Locations dK.}C,►r� cfm <br /> �— <br /> FUEL STORAGE (tiIUST BE APPROVED BY FIRE ti1,�RSH,4LL) _ <br /> ❑ installation ❑ Removal <br /> Fuel Oil: �allons ❑ Under�round ❑ Inside ❑ Outsid� <br /> LP Gas: �allons <br /> Other � <br /> G.-�S LIyE ONLY' <br /> � Outdour Grill � Oth�r ' List \\-hat �C \�'hcrr: � �� ep CQ� � ��'� <br /> �r Tl� `--�—��� �` __ _� <br /> � <br />