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• <br /> 4 <br /> s s, `v *TMx-eta- p¢p�:Y�9y.� gr '�'�°..- ;`� "Sze <br /> :717:1774 & . aA�\�an. aai C+ a 7'-"Y�'W <br /> 'R . ' i � � ��'sifi'+&^%W..�'.�.. rb'�71ii"A Yrs in'Se_S�.dL.w <br /> HEATING SYSTEMS l <br /> Quantity: 1 <br /> Make: G51-0?51-0? -\ D <br /> Fuel: AWva` <br /> Flue Size: `‘ <br /> Input BTUs: //U VOO <br /> Output BTUs: 4'. Do() <br /> CFM: P71) -72/0 <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: 11 n - L7-30 <br /> Model: :fl -30 <br /> Tons: Z ,5 <br /> H.Power <br /> FIREPLACES <br /> El Gas Factory Fireplace <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove <br /> ❑ Wood Stove With Flue <br /> Brand Name: Model No.: <br /> VENTILATION <br /> El No. Kitchen Exhaust duct recirculating cfm <br /> ElNo. Bath Exhaust(must have duct outside) cfm <br /> ElNo. Other Fans: Locations cfm <br /> FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) <br /> E l Installation ❑ Removal <br /> Fuel Oil: gallons El Underground El Inside El Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />