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<br />�� SYSTEM DESCRIPTION "+
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<br /> ��� HEATING SYSTEMS s
<br />�i_ 1' Quantity: �
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<br /> Make: YL '�,Lv�T
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<br /> Model: �j�t7 Y��-v Qyh'%Q�
<br /> Fuel: /Q-�vt rF �
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<br />'�' Flue Size: L
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<br /> Input BTUs: D� (��
<br /> Output BTUs: 02 � Va
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<br /> CFM: l�j U O .�
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<br /> COOLING SYSTEMS ��
<br /> QuantitY: � ;`;�
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<br /> Make: ✓�t {¢� /
<br />�`� Model: �6 I CT X C��-I�. �
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<br />��;; Tons: � ��Z ;�
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<br />��'� H.Power �� 5
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<br /> FIREPLACES GAS LINE ONLY '����
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<br /> �Gas factory fireplace �Installing a Gas Line Only R�`
<br /> ❑ Wood burning factory fireplace with flue n`'�
<br /> ❑ Wood Stove
<br /> ❑ Wood stove with flue r?
<br /> Brand Name Model No. :�
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<br /> VENTILATION
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<br /> No. Kitchen Exhaust duct recalculating cfm �
<br /> No. 1-�- Bath Exhaust (must have duct outside) ��cfm ;
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<br />�;.; No. Other Fans: Locations cfm �'
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<br />�` FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) �'�
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<br /> ❑ Installation or ❑ Removal �
<br /> k3,� ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside ,��
<br />" ❑ LP Gas: gallons '
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<br />�,� ❑ Other Gas opening �
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