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• <br /> ppg AV v�� Jp7/��� )3F A a N [ (f <br /> Y <br /> HEATING SYSTEMS <br /> Quantity. / <br /> ` .3t Make BAy6 .1.•-'...-.'•. ...`'''.'-...-,. -..,-'..-,' ,'.-•,—.._:-.1-.,.,::.-.':.•:`,„•.1`jy <br /> ., Model z t .:::-..',:',....5.`J..AI1 rt?i. ` .? re ` <br /> •,;,,,,-;;-'41.;... .-.1-7,-!,..-.1...,',.',',..f::::::',Fuel � ~rA'''` ,&Ir$' ?c. <br /> ti �r k!µij�k teuL 4 Sr S ; i tt:t ` '` ' . e 4 <br /> . <br /> S <br /> }Flue Size ti � r t 4 v � r i <br /> 't a� . a - . .wr •-; kFfb s.....i...!:,;„,.....,-..,,.,.1.,.,-,..f ' -;k r f4RPInp_�rtByTU3 t� �3 lrIOV OJV '_ axf kx �� } f '' I'si 5 <br /> I y ; ti.it 4 � e <br /> k4 x}'"4 .. l Output BTUs !� • , Y 4 <br /> »rt /. ,r ./y t ;' tial..0, c: y i rY a <br /> { t CFM 0'd �s 7s a <br /> i c ft a <br /> COOLING SYSTEMS <br /> Quantity: f • <br /> Make �I ...4 <br /> Model: •...,5-?8,6,0./)(,o-9 6 <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> ❑ Gas F 'tory Fireplace <br /> ❑ Wood inning Fireplace <br /> ❑ Wood tove <br /> ❑ Wood tove With Flue <br /> Brand ame: Model No.: <br /> VENTILATION <br /> _, • No. •/ Kitchen Exhaust • duct • recirculating l i/ <br /> L� No. C Bath Exhaust(must have duct outside) 80 cfm <br /> ❑ . No. Other Fans: Locations <br /> - . cfm <br /> FUEL STORAGE(MILT BE APPROVED BY FIRE MARSHALL) • <br /> ❑ Installa ion ❑ Removal <br /> Fuel Oi : gallons ❑ Underground ❑ Inside ❑ Outside. <br /> •• LP Gas gallons <br /> Other: . <br /> • GAS LINE ONLY <br /> ❑ ` Outdoo Grill ❑ Other/List What&Where: • <br /> 2 <br />