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�,:. <br />,;;, <br /> i�, � ! <br />�.� <br /> t:,. <br /> e<: <br /> s"` . . <br />�,: <br />"v' <br />.'��� SYSTEM DESCRIPTION <br /> HEATING SYSTEMS �_� ��-UU I Z I`lE v�'� <br />��;' Quantity: <br /> Make: <br />}':.: <br /> Model: <br /> i <br /> Fuel: <br />���:` Flue Size: <br /> ,. j <br />�`� ' Input BTLJs: <br /> Output BTUs: <br /> -� <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> � FIREPLACES GAS LINE ONLY <br /> ❑ Gas factory fireplace ❑ Installing a Gas Line Only <br /> � ❑ Wood burning factory fireplace with flue <br /> `' ❑ Wood Stove <br /> :}: <br /> � ❑ Wood stove with flue <br /> Brand Name Model No. <br /> VENTILATION <br /> � No. Kitchen Exhaust duct recalculating cfm <br /> No. Bath Exhaust(must have duct outside) cfm <br />��� No. Other Fans: Locations cfm <br />��_:. <br />,� <br />�` <br /> FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) <br /> ❑ Installation or ❑ Removal <br /> ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside <br />�� ❑ LP Gas: gallons <br />�.- <br />�,� ❑ Other Gas opening <br /> 6F,� <br />�''. <br /> rC''� .. , . . .. . ^ <br />, L <br /> r,.' � � . - . . <br /> e. <br />,., . �� � . .. . � . . . - � . . � .. . � . . <br />� �. � . � � � .. , ._ ... � . <br /> , <br /> i . r . . . . . . . . . . . . - . <br /> - � � . . . . - .: � <br />�'_ , � . .. - � ,3, �� . . ... . - . . . � .. . � .. . � .. � � . . . �,`�. .. . <br />