|
. � �y�� . . � . � . ,�. � ..� .. . . T .' . �, j o;, �r J �.,4 }
<br /> .
<br /> :.. � .
<br /> •. ,
<br /> . ... . •�. „ .�.i . . '
<br /> � . / �
<br /> � e. � � , y. �-. .... . , ,. .-. � ,
<br /> �� . . . . � ':. :��.
<br /> . � .. . . .. . . . .. . .iS.. . . , � . .. . .
<br /> . . , . . . . . , . � � • . , . r� ,.
<br /> . },., . - ��c �4
<br /> . ��` . � _. . . � �_ rv���r c,`
<br /> SYSTEII'I DESCRIPTION ;. , > i'*.�` •. .a 'I�� yr.,. l..� . �' �.� °• �'
<br /> t ���.
<br /> . .,.. . . . � ..�. ...Y� 1.F . . �, . ,. ,,.
<br /> • ,...:... . .. ;�.. . .:..�' ..,�.:.� .� ..r.r.:♦ '� ����:... , i ..'
<br /> HEATING SYSTENIS I ��� ��}
<br /> Quantity: . . f. .._. _
<br /> ����. .
<br /> Make: -.1.�1.�� ,.,�,, . >
<br /> ,
<br /> Model: mv p�QO ,
<br /> FueL• __ ►.:J�. � . _. ' ..
<br /> . ' .,,. .
<br /> Flue Size: ¢�
<br /> {
<br /> Input BTUs: � .
<br /> ���..:
<br /> Output BTLJs: �1��� : : .
<br /> . � �;: >.;:���., .
<br /> CFM: -
<br /> .. : :;c ��x4�
<br /> .�•' '.3.`.
<br /> COOLING SYSTEMS . ;=�t;_ ;
<br /> � ,,.r,
<br /> Quantity: _
<br /> �.
<br /> Make: �Q,1f : , N`t�_
<br /> Model: 3 � �
<br /> Tons: L�
<br /> H.Power . . , -;
<br /> . . ....�. � � 't'�t'£�S. . '.�:� 't'...
<br /> . ... . . . � � ....�.....� . . . ' ,' ,- . .. ... . . �.. . . . .. . :;
<br /> FIREPLACES � ' � GAS LINE ONLY .
<br /> ❑ Gas factory fireplace . . . �
<br /> � 1i� �; � � Installing a Gas Line Only
<br /> ❑ Wood buming factory fireplace with flue � �
<br /> ❑ Wood Stove . . ��, -. ,
<br /> ❑ Wood stove with flue ' , ' ` ` 4
<br /> , .,;;
<br /> , � a$ �.
<br /> Brand Name Model No. � ;'.��` �'�-'�� �'� K` ,
<br /> � .. . . . , . :. _.: :.,. ;,.,,r , . , . � , ' +f�3�c��� �� R� -.
<br /> `ENTILATION . - . � ; �
<br /> , -�;
<br /> No. Kitchen Exhaust duct recalculating cfm
<br /> No. Bath Exhaust (must have duct outside) cfm
<br /> Fans: Locations
<br /> No. Other cfm '
<br /> . . ,.. .... . .�, � ��f =zf� �� .�.
<br /> . , _ � �:,� '=t�x�"<a�►� .�
<br /> FUEL STORAGE (MUST BE APPROVED'BY FIRE MARSHAL) -` fi``. t' `'�`� ?����'' �`i ��2����'3`' -' ��
<br /> .. , .<,,, . . ,.,.. . ,.. . .... ..
<br /> ❑ Installation or ❑ Removal
<br /> ::
<br /> ❑ Fuel oil: gallons,-; ❑ underground ❑ ir�side ❑outside ��
<br /> .A
<br /> ❑ I;P Gas ... ... _, �. ,.. ...
<br /> ,. gallons ..... ... ...... .. . ....
<br /> • , ;: ; ;..- : :-
<br /> ' , t '
<br /> ❑ Other , Gas opening . .:: -,.�. ... ,. ;
<br /> 2 � :
<br /> , ,
<br /> ,
<br /> , � ��Y '-�= r
<br /> E h �`. ��,` :�:�
<br /> ,C` "a' J'„�
<br /> ki :
<br /> �...� �.�,,.,,..w,,� ... . . � : . � . . F �� y
<br /> , ..._� .. ..............�-�.�.�.... . . .. r, _..
<br /> ,.
<br /> x
<br /> �'
<br /> , �. ' �
<br /> .
<br /> „. .,•... ,.. .,e, ��.�F
<br />
|