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, 06/19J2013 01: 13PM 76375429a8 RIVER CITY PAGE 02/03 <br /> , � . ;-' ' <br /> ;'iVl�.�7A.i'�ti'C%�;L S��:sTEM%5:��[°N:G II�S'l'_tiL`�EIJ .. ,:, <br /> Nore: AI1 G�o�iierma! Systems �vili nm;-renuire�,5it�Pian �: Revle��� trv ous•Buitdin= Of�cia�. <br /> rr a:f�r,ss.c'�'zT��;t�_ . _ .. � .. 4�__ <br /> Quantity: <br /> �ial<e: <br /> Model: <br /> Fue1: <br /> Flue Size: <br /> lnput�TUs: <br /> Out�ut�iTUs; M ` <br /> CrM° <br /> COOL�YG SYSTEMS <br /> Quantity� � � (_.- <br /> Tvlake: r r <br /> Niodel: � � �� __ � <br /> Toas: �U_.�� _-- <br /> H.Power <br /> FFREPLA�C�S <br /> (� Gas Factory Fireplace Rrand Nattae; , <br /> ❑ Wood Bu�r�ing�ireplace �� <br /> Q Wood Stvvc Nlpdel Np,; <br /> ❑ Wood Stove w�th Flue/Masoruy � <br /> vE�v'z'�Z.,,,��„TION <br /> ❑ No. Ki�chet��xhaust duct xeci�cula2ing c�'m <br /> �] No. Batb ExhAust(must k�avc duct outssde) cfm <br /> ❑ No. Oti�e�Fans: Locations �� <br /> �U��.STO�iAGE (Must be approved by�re Masshall ifp%posing to abandan tank in plarr.) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: �gallons ❑ Underground ❑ �n$ide ❑Outside <br /> LP Cias_ ga110i1S <br /> Othe�: <br /> GAS�,IN�ONLY <br /> ❑ Outdoor Grill ❑ Other/List What& Where: <br /> 2 <br />