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,}�- . + � <br /> t� � <br /> � <br /> SYSTEM DESCRIPTION '� <br /> � <br /> HEATING SYSTEMS $ <br /> .;; <br /> Quantity: �, <br /> Make: ` <br /> �� <br /> Model: �� <br /> '; <br /> FueL " <br /> � <br /> Flue Size: � <br /> �� <br /> , <br /> Input BTUs: .� <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> � <br /> Quantity: . <br /> � <br /> Make: 4� <br /> ��' <br /> Model: � <br /> � <br /> Tons: � <br /> H.Power z`� <br /> 4� <br /> FIREPLACES GAS LINE ONLY � <br /> � <br /> ❑ Gas factory fireplace �f�Installing a Gas Line Only � <br /> � <br /> ❑ Wood burning factory fireplace with flue ,;� <br /> ❑ Wood Stove � <br /> q; <br /> ❑ Wood stove with flue e� <br /> � <br /> Brand Name Model No. �; <br /> � <br /> VENTILATION ��' <br /> �� <br /> No. Kitchen Exhaust 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 FIRE MARSHAL) <br /> � `�� <br /> � ❑ Installation or ❑ Removal <br /> � Fuel oil: allons <br /> ( ❑ g ❑ underground ❑ inside ❑outside <br /> ❑ LP Gas: gallons <br /> ❑ Other '`� <br /> Gas opening <br /> <� <br /> 2 � <br /> �: ,..> � <br /> §� �7 , <br /> Y r � <br /> : . <br /> _ � <br /> > <br /> ��r�� � � .,• � , . . . �. � . . <br /> ,_�� �� r .. . , . . � <br /> ., <br /> : y ,� ,, �. * <br /> � . . ,,. ` <br /> i . . . 4' ..(.. . �r � <br /> . i . � . <br /> +�� . - <br /> ,i.�:�.`��.3c..-'a' ,. �..., ..,��� .. � _i� `:i." '...[�_.ws, .:,. .<.�.,f.......... _._._._ ._ ,... � . .... ...._.. ... w...,.:.� .. . ,w�:iLtSYE.A.iv``.x:,:'_J.*rxA=�."J�i':`�tie'e.�....., .._,AS'. <br />