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0 <br />IL HEATit.'G 2 COOLING <br />1. Heatinq; Spccial Controls <br />Gravity <br />� Moke ond Modcl e( Unit_ <br />Number of ducls—warm oi <br />Forced Air <br />[j Makc and Modcl of �lnit <br />�.T.U. OutpuL No, of �luUs—wnrm oir <br />Hot Watcr <br />[j Make ond Modcl of Unit <br />�.T.U. Outpuf_.__ Qa;ebo�rd? <br />[Icctric <br />� Mokc and Madcl �L Unir <br />Numbcr of Un�ts ond wottage for cach room_SE� <br />2. Cooling <br />� Mechoniml (moke 8 capociry of <br />Othcr <br />Ili. WIRING 8 FIXTURES <br />1. Number of eonvenimce cv:L�tr___,_._!_i_ _�_ <br />2. 220 V. Drycr cirtuit�= + <br />;7.,, � .. <br />�. Spc:ial out!ets—� ^ _� <br />Totol O.T.U. LOSS <br />insuloted____ <br />�. Y,i;<h�,n Fan: Sizc_�� •� N;ake_ /�%! 7;�.C/ � <br />Hooded?. <br />6. Bolh Fon; Si:e_ ���,'-� <br />_ Mnkc <br />7. lVtic Pan: � <br />Si��— �'� Moi<c <br />8. Both Hcoter. � Type_9J}`�% ��" � Moke <br />o.r.u.— <br />9. N�'afer Hcalcr. Sizc=�� //��. Moke �<�</�[/.Y[.i C <br />Elect � <br />lU. Intcrcom: Makc_�`./!� Stoticns <br />Rodio_ <br />11. Fixturc Allowoncc _:—��n �' <br />Unit? <br />Insu.?___. <br />IV. I certifv thof Ihe 6uildmq ��fll be eom�leted in a workmonlike monner and Ihat Ihe (ore9oing descriplion ol materiols and lobor to be used in <br />d�_ cnnstructirn ef the nb�>ve describ�d buiidinn will be stric+ly odhered to i( this loon is e�ronted ond ihet the same •vill not be rheapened <br />nor thp plcns oL'med withc�t ihe writlen ecns^nt o( ihe morir,opee�. <br />Dcted_._ _._'__..__ <br />� � <br />��:.�f; �% � .��� ; � � ,/, <br />Signed ���." � � , //; l: � <br />Owner or Morlgogor <br />. � Y /� <br />.�/ : <br />SII�nCd_., r : ir/ Sf/ � /�./ <br />_. . _ _ _ _ � '—L__'-1'�'1�-�:..__ - <br />Buildcr ar Centmetor �� <br />] <br />