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� <br /> - MECHANT�AL�SYSTElV�S`~BEII�G�iNSTAI:,LED ':-;: �� . "y ;:` <br /> , <br /> HEATING SYSTEMS ' <br /> Quantity: � <br /> Make: Q✓�/a�c <br /> Model: �C-�/�iP'+�-��!,-O�fc� <br /> Fuel: /�� <br /> Flue Size: .��G <br /> Input BTUs: �'(� � <br /> Output BTIJs: �� `� <br /> CFIv1: � s�qz,.��- - - <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H. Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace <br /> ❑ Wood Buruing Fireplace <br /> ❑ Wood Stove <br /> ❑ Wood Stove With Flue <br /> Brand Name: Model No.: <br /> VENTILATIOPI <br /> ❑ No. ICitchen Exhaust duct recirculating cfm <br /> � I�To. Bath Exhaust(must have duct outside) cfm <br /> No. Other Fans: Locations cfm <br /> FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) <br /> ❑ Instaliation ❑ 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 /> � <br />