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I�iECH�NICAL SYSTE�TS BEI�;G PvSTALLED , <br /> HE.aT[�G S�STEtiiS <br /> Quanrity� <br /> �Iake: <br /> ModeL <br /> FueL <br /> Flue Size: <br /> [nput BTlis: <br /> Outpuc BT L'�: <br /> CF�t: <br /> coo���c sti srE��s <br /> Quan�i�y� <br /> �Iake: <br /> �fodeL <br /> Tons: <br /> H. Po����r <br /> F[REPL.aCES <br /> � Gas Factory Fireplace — 7� � <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove <br /> ❑ W'ood Stove With Flue <br /> � � Brand�1ame: � ,��y–�-�l� Model No.: �� �-J..�'S <br /> VENT[L.aTION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outsidel cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FL'EL STOR.�GE('�IliST BE APPROVED BY FIRE Nt�RSH.-�LL) <br /> ❑ (nstallation ❑ Removal "�'tJer�'�� <br /> ,;�,,;�� a nrisN+ .b��ni�l aeb <br /> FuelOil: ;allons ❑ Undergrou ����de <br /> LP Gas: aallons <br /> Other: � '�S-tCMt� <br /> G.aS LINE O�LY <br /> ❑ Outdoor Grill ❑ Other List What& `�'here: <br /> 2 <br />