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MECHANICAL SYSTEMS BEING 1NSTALLED � <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs <br /> CFM: <br /> COOLING SYSTENIS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace <br /> ❑ Wood Burnin�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. 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: ��(� �allons � Undergrotmd ❑ Inside �Outside <br /> LP Gas Qallons � <br /> Other: �!-�'G-Pf� �/o' �� � � <br /> �GAS LINE ONLY <br /> ❑ Outdoor Gril1 ❑ Other/List What&Whei�e: <br /> 2 <br />