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<br /> SYSTEI�T AESCRIPTION , , , _ , f , p _ ; u
<br /> . _ 'fi�� ,l.�r.:r" .�.Kr .t�.y` f �;t,}� ,+ , "'
<br /> HEATING SYSTEMS ��b ��.
<br /> � . �`
<br /> Quantity: . . _ . . �. � '€
<br /> Make: _ ,t., '
<br /> Model:
<br /> FueL• .
<br /> . �Flue Size:
<br /> �
<br /> Input BTUs: � „
<br /> ,�. .. �i<:.. _ �
<br /> �UtpUt BTUS; *, . . . . ' .,;�rj�:; !.".`
<br /> , ;ti.s' .. , .
<br /> CFM: -
<br /> .i:- ,
<br /> COOLING SYSTEMS . , � --: . .,
<br /> Quantity: !_ . ' :'t�.�,-
<br /> ��«� T:i:
<br /> Make: .i�,��iJ , , . �� �
<br /> Model: �,f'��..,��;(�ti%C�' �
<br /> Tons: �
<br /> H.Power 1
<br /> .. _
<br /> . '. .. ' ' �! 4 j.;'.'; '� ,
<br /> . .. ... . ,.�. ... .. . . . � - _! . . , ..,. . .. . _
<br /> FIREPLACES � � GAS LINE ONLY . ,
<br /> - �
<br /> ❑ Gas factory fireplace � � � '� "'�," � Installing a Gas Line Only � � �
<br /> ❑ Wood burning factory fireplace with flue ' ` w� �''�
<br /> ❑ Wood Stove
<br /> ❑ Wood stove with flue � "
<br /> � .•_.
<br /> , _ry. �
<br /> , r .6,:
<br /> Brand Name Model No. -� �'���.•��u : � �
<br /> ,. ;�:, , _ . ; '�t�.�s,�i�.,-'�
<br /> � • :'.i f ?.�yxi'_ ^
<br /> � .. . . . . ..� , .'.. .�. .. '-• ... � ",�,;T.il`:�� . ...��
<br /> VENTILATION . . , . . , . .. :
<br /> No. Kitchen Exhaust duct recalculating cfm
<br /> No, Bath Exhaust (must have duct outside) cfm �
<br /> No. Other Fans: Locations cfm -. � � z. ': �
<br /> . . ,.: . , .. <�t �� ,yf ,ai 3a :.�t�t�"� ' x y.
<br /> ti � � �,' zy}t,,� .' �; �
<br /> FUEL STORAGE (MUST BE APPROVED'BY FIRE MARSHAL) � � s > ;Y f �
<br /> ❑ Installation ,.1... • _ . . .. . . .�
<br /> or ❑ Removal
<br /> ❑ Fuel oil: gallons;; ❑ underground ❑ inside ❑outside , � r
<br /> LP Gas ..,:.. _. . . ....,.. . .._ _. . - ,. ., . �. �., . _ .
<br /> ..::�;.
<br /> , .
<br /> ,...
<br /> . .
<br /> . . . ..
<br /> ❑ . .gallons .__._,.�. _........ . . �
<br /> ❑ Other . * �'
<br /> Gas opening : . �;
<br /> ; ..
<br /> .._ . , ...
<br /> . ._ . .. _ ._ . ._, ,
<br /> .. . _...., . . I
<br /> 2 . �
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<br /> .;� �:� �.
<br /> . . ' . . . • ' '�y �t.�.�.
<br /> . . . . . � ' _ ' ,�r�•
<br /> � � . . . . �. ��.
<br /> a�r.r.M�._~^.._.. . .. . .. . . . . � � . . ., i v��.. 1'� �ti���
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