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M <br /> � � , �� ,..� <br /> � ' °� �1V�'ECHANIC.AL SYSTEMS BEING INSTAI.;�,ET:� � <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: � � <br /> Model: � � <br /> Fuel: � <br /> Flue Size: �' <br /> Input BTUs << �- e� �� <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 Burning Fireplace <br /> ❑ Wood Stove <br /> ❑ Wood Stove With Flue <br /> Brand Name: �d� Yl ��U' Model No.: � � <br /> VENTILATION <br /> ❑ Na 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 />