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i <br /> I <br /> Frbm:Hea4ng&Cooling TwFax:(888)550-9203 To:+19522494616 Fax: +19522494616 Page 4 of 4 121412012 11:47 <br /> . <br /> ,s��'�r, :.��*�;3%/ Yt'�,���� � i 0� ' 1 �. <br /> ..�. � ����'.� •��:.�,�a� ��' _ .:�. �- - <br /> . c�� A �:(:•'. <br /> .. r .i. �!1:: <br /> iHEATING SYSTEMS <br /> � Quantity: <br /> Make: " � <br /> I Modet: <br /> i <br /> ' Fuel: <br /> I Flue Size: <br /> � Input BTUs: <br /> � <br /> j Output BTUs; . , <br /> CFM: • . <br /> COOLING SYSTEMS • <br /> . Quantiry: <br /> Make: <br /> Model: <br /> I <br /> ' Tons: <br /> H.Power <br /> FIREPLACES , <br /> ❑ Gas �aclory Fircplacc <br /> O Wa�id Burnino Fircplacc <br /> ❑ Wood Stove <br /> ❑ Wood Stove With Flue <br /> Brand Name: ' <br /> Model No.: " <br /> �N'Y'�•ATION <br /> I ❑ No. Kitchen Exhaust <br /> ❑❑ No. _ Bath Exhaust(rnust have duct�outside) recirculating �� <br /> . No. Other Fans: Locaaons �cfm �� <br /> FUEL STORAGE(MUST BE�pppROVED gy�MARSHALL) cfm <br /> � ❑ Installation ❑ Removal <br /> Fuel Oil: ___gallons • . . <br /> LP Gas: ga��o� ❑ Undergtound ❑Inside ❑ Outside � ' � <br /> � Other: <br /> GAS LINE pNi,y <br /> ❑ Outdoor Grill � Otl�er/List What&Where: Cb( �/�, <br /> 2 <br />