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� <br /> �`' � 'MECHA�ICAL:S�STEIVIS�BEING;;I1�S'I'AL��I? � <br /> . , <br /> , ,��� ;, <br /> � : <br /> �. � r - � : <br /> ,, <br /> � � � " ♦ <br /> HEATING SYSTEMS ��'��`"'R`� ��� '���� � <br /> Quantity: � � <br /> Make: ��rJN�� �;nli✓A, <br /> ModeL• ��" c✓ C a�3a .. '"'� <br /> Fuel: /�-'�'�' N '9 T' <br /> Flue Size: � �' /���' Dwz�u�, Q' <br /> Input B'TLTs: �SGdO — ��otb f3�'u /�oGo —I�xa� <br /> Output BTUs: <br /> CFM: N�� /V� <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove <br /> ❑ Wood Stove With Flue <br /> Brand Name: Model No.: <br /> VENTILATION <br /> ❑ No. Kitchen Erhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Uutside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill [�- Other/List What&Where: M��Z � a`"TS"�¢ �:� ��S <br /> � <br />