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. �r <br /> MECHANICAL SYSTEMS BE1NG INSTALLED � � <br /> HEATII�IG SYSTEMS <br /> Quantity: � °J�"'"` <br /> Make: � t c/S <br /> Model: G_��� X <br /> Fuel: � Qr-T- G�5 <br /> Flue Size: <br /> �/� � <br /> Input BTUs: 2 ( <br /> Output BTUs: p <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: __ <br /> Make: <br /> Modcl: <br /> Tons: <br /> H. Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove <br /> ❑ Wood Stove With Flue <br /> Bi-and Naine: Model No.: <br /> VEN'TILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) _ cfin <br /> ❑ No. Oflier Fans: Locations cfin <br /> �UEL STORACF, (MUST I3E APPROVrD BY FIRE MARSHALL) <br /> ❑ Installatioii ❑ Removal <br /> Fuel Oil: gallons ❑ Undergrotmd ❑ Inside ❑ Outside <br /> LP Gas: gallons <br /> Othcr: <br /> CoAS LINE OI�ILY <br /> ❑ Oiirdoor Grill ❑ OCher/List What�.Where:_ ____ _ <br /> � <br />