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1VIECHANICAL SYSTEMS BEING INSTALLED <br /> HEATING SYSTEMS <br /> Quantity: � , <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace <br /> ❑ Wood Buining Fireplace <br /> ❑ Wood Stove <br /> ❑ Wood Stove With Flue <br /> Brand Name: Model No.: <br /> VENTILATION <br /> [�i No. _�_ Kitchen Exhaust duct recirculating '�j-�jC7cfm <br /> ❑ No. Bath E�laust(inust have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FtiEL STORAGE(MliST 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&Wl�ere: <br /> � <br />