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Y{ <br /> S1'S'g'�1V�I)ESCRIP"B"ION � <br /> HEA'I'iNG S'YST�NIS <br /> Quantity: <br /> Make: <br /> Model: <br /> FueL• <br /> Flue Siz.e: <br /> Input BTUs: <br /> Output BTUs: <br /> CF.'Vi: <br /> �OOLIiVG SYS'TEIVIS <br /> Quantity: _ <br /> Make: <br /> Model: <br /> Tons: <br /> H. Fower <br /> �'Ib�E�'I�.A,�'�� �A,S I,�I`dT' �NLY <br /> � Gas factary fireplace ❑ Installing a Gas Line �nly <br /> � Wood burning factory fireplace with flue �,�,u��,,,� <br /> ❑ Wood Stove <br /> ❑ Wood stove v✓ith flue <br /> Srand Nam���-�� ���= ���iodel 2vTo. �c�,JC� <br /> '�'�l�eT"�'��A`F��3I`rT <br /> No. ICitchen Lxhatist duct recalculating efm <br /> No. Bath Exhaust (must have duct outside) cfm <br /> No. Other Fans: Locations G�'�} ,,�_; <br /> �„ ,. , � F., .�-�ia:��� . . <br /> F��T�L S"�'Qi�A�� (IvIUST BE APPROVED BY FIRE MARSHAL) i�`:``;a} �:: :. <br /> Mv,�1 Mf��l7itt� .y! �)'J",: <br /> �t;rr. u�.# r.;:��,-�:.r ;k. <br /> ❑ Installation or ❑ Reinoval �'��'"����' '�� <br /> ❑ Ft�el oil: gallons ❑ un.derground ❑ inside ❑outside <br /> ❑ LP Gas: gallons <br /> ❑ Other ' Gas opening <br /> ' 2 <br />