|
f �
<br /> t
<br /> ' '�
<br /> _�
<br /> SYSTEM DESCRIPTION ,;�
<br /> HEATING SYSTEMS
<br /> Quantity: I
<br /> Make: CaY"1'1e r"
<br /> ModeL• � � �1,� :;�
<br /> �
<br /> Fuel: �%� �
<br /> ��
<br /> Flue Size:
<br /> ��
<br /> Input BTUs: I d���
<br /> Output BTUs: C%V
<br /> CFM:
<br /> COOLING SYSTEMS :Xr
<br /> �
<br /> Quantity:
<br /> Make:
<br /> Model:
<br /> Tons:
<br /> „�
<br /> :;:
<br /> H.Power
<br /> ,�
<br /> FIREPLACES
<br /> ❑ Gas factory fireplace
<br /> ❑ Wood burning factory fireplace with flue
<br /> ❑ Wood Stove
<br /> ❑ Wood stove with flue
<br /> Brand Name Model No.
<br /> VENTILATION
<br /> No. Kitchen E�chaust duct recalculating cfm
<br /> No. Bath Exhaust(must have duct outside) cfm ���
<br /> No: Other Fans: Locations cfm
<br /> FUEL STORAGE(MUST BE APPROVED BY FIItE MARSHAL)
<br /> ❑ Installation or ❑ Removal
<br /> ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
<br /> ❑ LP Gas: gallons . .:_
<br /> ❑ Other Gas opening
<br />�v; 2
<br /> �.:
<br /> � N � . , : ,�
<br /> ,� . _, � , , _ ,
<br /> , 4,
<br /> ' �,�� ' � .. . . ' ' ' . . . � ��a . ,t'.
<br /> t ' � �- � . . - . � .
<br /> r.
<br /> � : ,.� • �. � .z. , . _. , . . .
<br />� ,. " ' ' , ' _ . � . . . .� � .
<br /> ,
<br /> . ,, . . �'.,. . .
<br /> ,
<br /> `
<br /> ;
<br /> ,,: . . � . . . . . . _ . ..
<br /> � , . � : . . :� . '��
<br /> 1
<br /> �
<br /> ., � � . � � . . . ,
<br /> �
<br /> ; � .. . �', . . . . � �
<br /> .�� ' ��. , .. `�.' .. ... an . , ._ r . ._�� �. . . . ,_.e.. ...... .j..r,,,.,,�a. , � ...,.a. .. ___ ,.�.
<br /> .
<br /> .-
<br /> 1� '
<br /> ,�:. .,_.w.r, s. z. � .. . .. . ... , u..-
<br /> . _ , _� .. . ,. ....,k..:,_ , .. 4� . �....:..... ... .. ... . ._. . _ . ..�. . �...adt� . .
<br />
|