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MECHANICAL SYSTEMS BEING INSTALLED <br /> HEATING SYSTEMS <br /> Quantity: � � =} <br /> r �' <br /> Make: ��i�^T i�`'L''� �"i V9U��;' ��f�=�i''�� c�1� � <br /> Model: S�m X I�j I��l�� � ` C �- 1� S�,S <br /> „ <br /> Fuel: ��� 4�. ��� ��'"(_ ��i <br /> �i. �� <br /> Flue Size: <br /> Input BTUs: <br /> /�v � % ` <br /> oUcpUc BTus: � ..r'�'' ''�, 3 7� <br /> CFM: �� U � .r-- - �S C, <br /> COOLING SYSTEMS <br /> Quantity: �'`� <br /> Make: C' 7 � <br /> ModeL '� ��"� �3�% <br /> Tons: <br /> H.Power •��� � <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace <br /> ❑ Wood Buming Fireplace <br /> ❑ Wood Stove <br /> ❑ Wood Stove With Flue <br /> Brand Name: Model No.: <br /> VENTILATION <br /> .� t�u:, � <br /> � No. � Kitchen Exhaust duct recirculating G � <br /> �� cfm <br /> � No. 7 Bath Exhaust(must have duct outside) '� cfm <br /> � No. j Other Fans: Locations �'�����u fc{ r�c< ��"� �`C G% 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: �� J ��r� p (L`` ��� <br /> � ,r (�4 l{' <br /> (Z) ��- ��-i � <br /> 2 <br /> Q �� b� ; 1-���-- <br /> � r- <br /> C�> G����� -F--t. <br />