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. . , i <br /> , � � � E.F'� ���:��MECHAIVICA�,SYST'EMS EEING INST.AL>L'ED , ,V;1����x�;'�r�������{? <br /> HEATING SYSTEMS - <br /> Quantity: ! <br /> Make: /� <br /> Model: �fl�Q <br /> Fuel: ��� �� <br /> Flue Size: <br /> ��� �� <br /> Input BTUs: ���j �o� - <br /> Output BTUs: (�Zo�O <br /> CFM: � p�O <br /> COOLING SYSTEMS <br /> Quantity: � <br /> Make: /' �f�� <br /> Model: �Zr A�A'G g <br /> Tons: _� <br /> H. Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace <br /> ❑ Wood Burning Fueplace <br /> ❑ Wood Stove <br /> ❑ Wood Stove With Flue <br /> Brand Name: Model No.: <br /> VENTILATION <br /> ❑ No. � Kitchen E haust l� duct recirculating �cfm <br /> ❑ No. _�_ Bath E�cha st(must have duct outside) �1.�_cfm <br /> ❑ No. Other Fan : Locations cfm <br /> FUEL STORAGE (MUST BE APPROVE' BY FIRE MARSHALL) <br /> ❑ Installation I <br /> ❑ Removal <br /> Fuel Oil: gall ns ❑ Underground ❑ Inside ❑ Outside <br /> LP Gas: gall ns <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where:��� �`� ` ��y�� • <br /> ���,t,,���.,Q, " <br /> 2 <br />