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, <br /> ' � , ` ����- �x{� ,� � <br /> . , - t �' 'M�`C�IA�NI�AI,;S.,YS�T�E�I�S�B�I�G�I�S`F�A�;LED``�' �' � � `�i <br /> , � �r��� �:;� t�''�: <br /> 3 ..,., ....,,.,_.,,..:.., <br /> HEATING SYSTENIS <br /> Quantity: <br /> Make: � <br /> U <br /> Model: <br /> , <br /> Fuel: �,� <br /> Flue Size: ��� <br /> Input BTUs: ��� �typ — <br /> Output BTUs: Z �. ��, <br /> CFM: . <br /> COOLING SYSTEMS <br /> Quantity: � / <br /> ! <br /> Make: ` <br /> �� � <br /> Model: �/�'l d 2 � ��O q� <br /> Tons: �j � — �` <br /> � � <br /> H. Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace <br /> ❑ ��ood Burninj Fircplace <br /> ❑ Wood Stove <br /> ❑ Wood Stove With Flue <br /> Brand Name: <br /> �----.__ Ylodel No.: <br /> VENTILATION <br /> ❑ No. �_ �tchen Exhaust �� / <br /> ❑ No. �� Bath Exhaust(must Iiave duct�outside recirculatin <br /> g l�OO cfrn <br /> ❑ No. �_ Other Fans: Locations j�'8o Z"//p .cfrn <br /> FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) cfm <br /> ❑ Installation � Removal <br /> Fuel Oil: __gallons <br /> LP Gas: �_gallons ❑ Underground ❑ Inside ❑ Outside <br /> O ther. <br /> GAS LINE ONLy <br /> �1 Outdoor Grill ❑ Other/List Wh�t&Whe � <br /> �.. _ �- �? <br /> re. �'��h � Gom/�o� <br /> � <br /> 2 <br />