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<br />�°' SYSTEM DESCRIPTION
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<br />��.�� HEATING SYSTEMS
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<br />� Quantity: f � �
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<br />�i Make: �� /.i i , �� �J-
<br /> MU1����jX� IJ
<br />�i Model: ;3S SP'� i1V t�G'���' 3�j �'1�����0� -�S •�P,�����(� � M
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<br />�,�_ Fuel: /�1I3T C�l+s ,�"!}'T G�4S i-yI�'r C.AS �1��
<br /> k ,�'` P✓�. - ' Pvc ��, �� �'� P
<br />�3.; Flue Size: c.-
<br />�� Input BTUs: l�00 C� �(�Q�� (,���jcJ �,
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<br />�. Ou�ut B�s: 'j � � � �' �]`f `f�-_ 2� ��p G ';
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<br />�, CFM: w v" �� ��� ��f '�:
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<br /> 'r`' JGI'\�.L� R.
<br /> s'.. CO ti"/�l�%jr ,k�
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<br /> COOLING SYSTEMS
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<br /> � Quantity:
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<br />.,�, Make: �� l�N i �� l�� �l, "�i
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<br />�� Model: SSCI�� ��Z 7� Q NX 0�� -r✓��n/ NX �yD '�
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<br />�� Tons: ,�,5� �To�/ �f � �
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<br />�z;� H.Power � r.� �v (� -��,I
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<br /> Tlt� y
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<br /> FIREPLACES GAS LINE ONLY �
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<br /> ❑ Gas factory fireplace ❑ Installing a Gas Line Only
<br />�; ❑ Wood burning factory fireplace with flue , I L���
<br /> ❑ Wood Stove � - F-}�A-T ,v (7 Lli �T S `t�- -
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<br />�r: ❑ Wood stove with flue a2 — JfL,�-,—nJ (� Lo ,�J�i,�Ji�.— G�-S�
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<br />` Brand Name Model No. � ^ ��r� � G L�
<br /> F ��� � � �� ��� �
<br />�'x� VENTILATION �
<br /> �— �-E�� �c/�L�" L%l��IZC��_ G/�.S
<br />�� No. Kitchen Exhaust��duct��% recalculating �>��' cfm�' V�L�— � �
<br /> � No.�Bath Exhaust(must have duct outside) 'OC7 cfm ���5 `���� f' �
<br /> No. Other Fans: Locations �cfm
<br /> FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) �
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<br /> ❑ Installation or ❑ Removal �
<br /> ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside "�•,
<br /> ❑ LP Gas: gallons `�=
<br /> ❑ Other Gas opening �
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