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R< ��'�`���' ,.,,`�, :'; MECHANICAL.SYSTEMS BEING INSTAL�.;ED j ` <br /> , �` r� <br /> HEATING SYSTEMS <br /> Quantity: � <br /> Make: �QXI✓1C�C <br /> Model: �i(,�/�l(�V 3(�1�6� I <br /> Fuel: <br /> G <br /> Flue Size: k <br /> Input BTUs: ��, D U� <br /> Output BTUs: fa�� �S U <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove <br /> ❑ Wood Stove Witl�Flue <br /> Brand Name: Model No.: <br /> VENTILATION <br /> ❑ Na Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations 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: <br /> 2 <br />