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_ <br /> tit <br /> MECHANICAL SYSTEMS BEING INSTALLED <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: �(L )-/t1L <br /> Model: A/C Orb NC to 0 <br /> Fuel: AMC- CAS j1/4 CA r <br /> Flue Size: Z /&G 3o <br /> Input BTUs: Y'h 10 O wl <br /> Output BTUs: y(cYV1 G1' vi <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: I <br /> Make: I-/CI L <br /> Model: CEJ b Z co U 3 6 <br /> Tons: Z <br /> H.Power 2- 3 <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 4S-0 cfm <br /> Er No. L1 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 />