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. ' , <br /> HEATING SYSTEMS <br /> Quantiry: <br /> Make: <br /> ModeL• <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: � <br /> H.Power <br /> FIREPLACES <br /> Gas Facto Fire lac c�`'e'� �" �� � � G�. <br /> � rY P � � <br /> ❑ Wood Buming Fireplace �-4 - <br /> ❑ Wood Stove (/ <br /> . ❑ Wood Stove Wi Flue <br /> Brand Name. Model No.: �lL'�� �� <br /> VENTILATION <br /> ❑ No. Kitchen Etchaust duct recirculating cfin <br /> ❑ No. Bath Exhaust(must have duct outside) cfin <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside <br /> LP Gas: gallons • <br /> Other: <br />' GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />