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. � <br /> �- M�CHANICAL SYSTEiYIS BEING INS"I'_'�LLED <br /> HGATINC SYS"1'GNIS <br /> Quantity: <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: !._ __ <br /> Output BTUs: _ _ <br /> CFM: __ <br /> COOLIi�G SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H. Power <br /> P'IREPLACI?S <br /> ❑ Gas Factory Fireplace <br /> ❑ Wood Bui7�ing Fireplace <br /> ❑ Wood Stove <br /> ❑ Wood Stove With [=1ue <br /> Brand Name: Model No.: <br /> ��EyTILATION <br /> / �'(� <br /> �" No. �_ 1<itcl�en Exhaust ����`� duct rccirculating 5�� cfil� <br /> ❑ No. Bath Exhaust(must have duct outsidc) cfin <br /> ❑ No. Odler Fans: Locations __ _ cfin <br /> FUGL STOR�G�(I�1UST BE APPROVGD BY F[RE MARSHALL) <br /> ❑ Iilstallation ❑ Rcmoval <br /> Fuel Oil: gallons ❑ U�lder�ro�u�d ❑ Inside ❑ Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What& Where:_ <br /> � <br />