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{ <br /> � l���.._� � ��..��.� <br /> MECHANICAL SYSTEMS BEING 1NSTALLED <br /> HEATING SYSTEMS ���J��'G� � ������' � � �G � u����� � �/� <br /> Quantity: � ' <br /> Make: ��N l�� i�� <br /> Model: ��2(� �,1 �-� —��eC�-1 0(7 ��MP�a4"l;L -r .� <br /> Fuel: �Z(�� � IV G T � l.��R/l <br /> 4 �, �„ <br /> Flue Size: <br /> Input BTUs: � � ���� -T" �'���('� <br /> ou�ut BTUS: a o� 41� n o 0 <br /> CFM: I� �� C�d'� <br /> COOLING SYSTEMS <br /> Quantity: � I <br /> Make: �� Nl� � ��N�� <br /> Model: �� 2� ' � � (� ���� '��b <br /> Tons: � `�� <br /> H.Power ��� a3� �.o� a�� I �� <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 E�chaust(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 />