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MECHANICAL SYSTEMS BEING INSTALLED <br /> HEATING SYSTEMS <br /> Quantity: � <br /> Make: � ^ � � <br /> Model: ,j�J G�� <br /> Fuel: � ` � . <br /> FWe Size: <br /> 2 " �✓�- <br /> Input BTUs: � � <br /> Output BTUs: �l�p �% <br /> CFM: �2 C� <br /> � <br /> COOLING SYSTEMS <br /> Quantity: � <br /> Make: c/�� �'� <br /> Model: 2���'��' <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: Model No.: <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Eachaust(must have duct outside) cfin <br /> ❑ No. Other Fans: Locations cfin <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: <br /> 2 <br />