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� � <br /> , � �``��Y������_��rf��I�'IECHA�TICAL�SYSTEi��iS:BEING�INST.�ILLEII'��`�� -� § <br /> � ��,. <br /> - ..��.��� ��i,v � <br /> r , , � <br /> HEATING SYSTEMS - _ <br /> Quantity: <br /> � / ' <br /> Make: - _ <br /> Model: ` �'`� R ' t�t�=� 't�G1� <br /> . ` , <br /> Fuel: ��( <br /> Flue Size: <br /> ,\ <br /> Input BTUs. L` �,�j�} <br /> Output BTUs: � <br /> CFM: <br /> COOLING SYSTEMS <br /> : Quantity: <br /> Ivlake: <br /> ,. -;. � <br /> Model: <br /> Tons: _ ; _ .. :. <br /> H.Power <br /> FIIZEPLACES <br /> ❑ Gas Factory Fireplace <br /> ❑ Wood Burning Fireplace <br /> �. ❑ Wood Stove - <br /> ❑ Wood Stove With Flue <br /> : Brand Name: Model No.: . <br /> VENTTLATION <br /> ,��/ No. � Kitchen Exhaust duct recir <br /> L�" No. % Bath Exhaust(must have duct outside) culating c m <br /> ❑ No. Other Fans: Locations <br /> cfm <br /> FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) <br /> ,� <br /> Installation [] Removal <br /> FuelOiL• gallons . <br /> LP Gas: ❑ Underground ❑Inside ❑ Outside, <br /> gallons <br /> Other. <br /> GAS LINE ONLY . <br /> �e�,� ��:S� <br /> ❑ Outdoor Grill �, Otlier/List What&`Where: <br /> 2 � <br />