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HEATING SYSTEMS • <br /> � Quantity: <br /> Make: <br /> ModeL• <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: � <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantiry: <br /> Make: <br /> Model: " <br /> Tons: <br /> H.Power <br /> FIRE�S <br /> '���,�� -- � I ,��► n� ' <br /> as Factory Fireplace � � �o� �� <br /> I Wood Burning•Fireplace � �Cl�,� Ja�Q b� <br /> ❑ Wood Stove ( <br /> ❑ Wood Stove With Flue .�.�c�G--IC� =Q <br /> l.�c�-�e�. <br /> Brand Name: Model No.: <br /> ' VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm . <br /> ❑ No. Bath Exhaust(must have duct outside) cfin <br /> 0 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 /> �(��.�:/tiv � ���� . 2 <br /> (% <br />