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r ;�� <br /> ECHANYCAL SYSTEMS:BEING INSTALLED �; : t < _0r. <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: Ltl`l/10- <br /> Model: QO/M1)(c0Q "I!O <br /> Fuel: ( <br /> Flue Size: 12 1, Vt, <br /> Input BTUs: / 10 10, 000 <br /> Output BTUs: Qq 000 <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: I <br /> Make: LQ.i')YIOk <br /> Model: H S'Z(a-04S <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 Exhaust _duct // recirculating cfm <br /> []' No. �j Bath Exhaust(must have duct outside) (VQ.rvt oily) cfm <br /> D- No. / Vis: Locations cfm <br /> s'r Y C.Parigeir <br /> FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: (2.) P1 r 2 p /d.e-v <br /> l dv-yQr <br /> 2 c' ) r arc'. <br />