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-� --,, ,�. �.,.� X , _ �._�. <br /> �: ; � ' � <br />��p . <br />�;; <br />�� MECHANICAL SYSTEMS BEING INSTALLED ' <br />� , <br />�-' <br /> HEATING SYSTEMS � <br /> Quantity: � <br /> Make: �/01^l� <br /> Model: �S 9G1�� <br /> Fuel: ,/1✓�� (s�.crS <br /> Flue Size: <br /> 3 �' <br /> Input BTUs: ����� <br /> �= <br />�',' Output BTUs: �oZ� 5� <br />�:: <br /> CFM: /�Qa <br /> COOLING SYSTEMS <br /> Quantity: � <br /> Make: �/Ol�k <br /> � <br /> ModeL• ,j)L��P D��C,i�l�/] <br /> --� <br /> Tons: J <br /> H.Power <br /> FIREPLACES <br />�� ❑ Gas Factory Fireplace <br />_ ❑ Wood Burning Fireplace <br /> ❑ Wood Stove <br />��t` ❑ Wood Stove With Flue <br />� ' <br /> Brand Name: Model No.: <br />�;; <br /> VENTILATION <br /> ❑ No. � Kitchen Exhaust duct_/�recirculating ��/�cfin <br /> ❑ No. _�� Bath Exhaust(must have duct outside) � cfin /.S^C� <br /> ❑ No. _� Other Fans: Locations l�c�ry �"�vy �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: �r�uC`e , I�j��" <br />�;:�; <br />,:;. <br />�f � <br />�,r;>;; <br />�,- � � _ <br /> t � , <br /> .� ,... ��ta,�, <br /> a, ..,, . : . _ r . :.,...,. . ..., w.� ,. ..�.� . .. ..L,._ _ _�..�..�L.. _ . <br />