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� 4 <br /> MECHANICAL SYSTEMS BEING INSTALLED <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: 1/ <br /> Model: 1RC a 6V <br /> Fuel: JJ <br /> ti <br /> Flue Size: % <br /> Input BTUs: <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> JR Gas Factory Fireplace <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove <br /> ❑ Wood Stove With Flue (/ <br /> Brand Name: �— Model No.: S G�,(t�_ — -(� bl / <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust 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 :i .aeldanrkooT wno"A M M1� <br /> 0"""4619"11 so <br /> Qwfm 001"U <br /> Fuel Oil: gallons ❑ Undergroq =tside <br /> LP Gas: gallons r*ft41Mff& <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />