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i <br /> MECHANICAL SYSTEMS BEP�1G 1NSTALLED • � <br /> HEATING SYSTEMS <br /> Quantity: ? � <br /> Make: !3.-y��.-.,f- 13��it,ti��- <br /> Model: .�izl�rti�%r.'7�/1�;'i% �i z,},����.3(��;;, ,�. . <br /> Fuel: /✓,L�. �,�,L� . <br /> Flue Size: `/ `/ <br /> Input BTUs: �c� Oc�G �r%;��'t; <br /> Output BTUs: �1 g���,i1 ���•, c�<_•s��= <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: � <br /> Make: J • �,,,,„ t <br /> Model: / 23l�NJ+L'��;� <br /> Tons: -� T�/`� <br /> H. Power %�, �s=�/ <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. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(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: <br /> 2 <br />