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MECHANTCAL SY'STEMS BEI1r1G INSTALLED <br /> HEATING SYSTEMS � <br /> Quantity: � _ <br /> Make: j 5:y u~t <br /> Model: 3'u���36�6� <br /> Fue►: /v G <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs: ��� <br /> CFM: �J�� ------ <br /> COOLING SYSTEMS <br /> Quantity: � <br /> Make: j3r yU nf _ <br /> Model: /a�yAf��G�`� <br /> Tons: � <br /> H. Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove <br /> ❑ Wood Stove With Flue <br /> Brand Name: Modei No.: __ <br /> VEN'fILATION <br /> ❑ No. Kitchen Exhaust duct recirculating _cfm <br /> ❑ No. Bath Exhaust(must have duct outside) _cfm <br /> ❑ No. _ ONler Fans: Locations _�f�» <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 LIN�ONLY <br /> ❑ Outdoor Grill ❑ Other/List What& Where: <br /> 2 <br />