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/ s� 1 <br /> i <br /> MECHANICAL SYSTEM`S BEING 1NSTALLED <br /> HEATING SYSTEMS <br /> Quantity: � <br /> Make: �z�t,,,,�N <br /> Model: 6�'�'I N9.r�09� <br /> Fuel: ir/�7� <br /> Flue Size: 3" ��t/�- <br /> Input BTUs: _�d 04a <br /> Output BTUs: �6,Ga4 <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: � <br /> Make: �-�.);,,.,�,v <br /> Model: (�SG).36�,/� <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 I�?o.: <br /> VENTILATION <br /> [2�' Na � Kitchen Exhaust �� duct recircularing 25� cfm <br /> ❑ No. Bath E�aust(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: gallons ❑ Underground ❑ Inside ❑ Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill � Other/List What&Where: ,/��,� -�- �;�,z•�/a�c <br /> 2 <br />