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I II, HEATING 8 COOLING Toml U.T.U. LO55 <br /> 1. Hcating: Speciol Controls (Describc <br /> Grovity I <br /> � Mokc ond Modcl of Unit —Fucl I <br /> Numbcr of duch—warm oir told air_ ducls insuloted � I <br /> � Farced Air � <br /> � Moke ond Model of �nit w��[_U Z2���.�' Fucl_,EG -��/� I <br /> B.T.U. Output No, of ducts—warm oir ��=�_�2L�L�_cold air.p���GQ�Duch Insu?��__ ' <br /> Hot Water <br /> � Mokc ond Modcl of Unit Fuel <br /> B.T.U. Output Boseboard? Radiotors? _Flmting Unid_—. ' <br /> Electrie <br /> � Moke and Model of Unit _ _ � <br /> Numbcr of Units and watmge (or eoch room <br /> , � <br /> 2. Coaling � <br /> � Mechanicoi (make 8 capaciy of units) �U ��= <br /> Olher IDescribe) � <br /> 111. WIRING 8 FIXTURES � . � <br /> l. Number of tonvenientc outicls � <br /> 2. 220 V. Dryer circuit� s 3. Doorbcll ��G J � <br /> 4. Spcclal outlets ��F�• Cu.e��r e � <br /> 'i -- <br /> 5. Kitchen Fan: Sizc ._Make_�lIT�.UE Hooded?��LS � <br /> � <br /> 6. Both Fon: Sizc Makc��2-� � <br /> NO AJ — I <br /> 7. Attic Fon: Sizc___� Make � <br /> 8. Bath Heoter. TypeJy�.uT G.Q/1/P�f Make�/�• - B.T.U. � � <br /> 9. Watcr Heoter. $izc_6lo C.OL . _Makc�C• Elect. � or_ <br /> I <br /> i <br /> , 10. Intcrcom: Make�_�1_O�/E $tulions Radio _sM I <br /> / _�, I <br /> I 1. Fizture Allowancc S—��co � <br /> :V. 1 certify �hot the buildinp will be mmpleled in a workmonlike mcnner ond Iho� the forepoing desuiption of moterials and lobor to be uzed in � <br /> Ihe construction of the a6ove described buildin9 will be strictly ndhered to if this loon is gmnled ond thot the same will not be cheopened <br /> nor the plons oltcrcd without ihe written eensenl uf thr. mort9agecs. <br /> /J �///1 i <br /> Signcd� _, ,� � �C��.�%�ri%�%.�{i?11'1l��jL,� '. . <br /> Owner or Morlgogor . <br /> Doted ._ . Si,ncd___ <br /> Builder or CoNra[tor � � <br /> I <br /> �.«.�.. <br />