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� <br /> MECHANICAL SYSTEMS BEING 1NSTALLED <br /> . <br /> HEATING SYSTEMS ` <br /> Quantity: I v <br /> Make: ��' t�� <br /> Model: d/ <br /> Fuel: �,�Ll,yOi.Q � <br /> Fhie Size: p�i rc.� �V C.•� <br /> Ill�llt BZ'U5: /� �v o <br /> OUI�JUt BTUS: .�l� Oa' <br /> CFM: �OU <br /> COOLING SYSTEMS <br /> Quantity: � <br /> Make: L�L�� -Y�}11��'- <br /> Model: <br /> To��s: .5 <br /> H.Power `�3 _P. <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. � 1` Kitchen Exhaust duct recirculating cfm <br /> ❑ No. _�_ Bath Exhaust(must have duct outside) �cfm <br /> ❑ I`To.��_ Other Fans: Locations cfm <br /> FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Undergro�md ❑ Inside ❑ Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other i List What&Where: <br /> 2 <br />