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t ' . � <br /> r <br /> � <br /> SYSTEM DESCRIPTION <br /> HEATING SYSTEMS <br /> Quantity: � '�� <br /> ':i: <br /> Make: <br /> Model: �/'Sfj/f-(�D����d�`I U <br /> Fuel: /J�j�//� <br /> �—i i <br /> Flue Size: <br />���;�� rnput B�rtrs: yo l� ��K <br />�,; <br /> Output BTUs: � /� <br /> CFM: ! � /I`�S� <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: ��/�7✓.rV.�G� <br /> Tons: � 'S <br />� >/��.*, H.Power <br />�� <br /> FIREPLACES GAS LINE ONLY <br /><..}4: <br />� . ❑❑ Gas factory fireplace ❑ Installing a Gas Line Only <br /> Wood burning factory fireplace with flue <br /> ❑ Wood Stove <br /> �:���� ❑ Wood stove with flue <br />.,;;$, <br />:'f'`` <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 /> FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) <br /> ❑ Installation or ❑ Removal <br />'�=� ❑Fuel oil: gallons ❑ underground ❑ inside ❑outside <br /> .�: ❑ LP Gas: gallons <br /> ❑ Other Gas opening <br />�f, <br />�" <br /> 3::'.. <br />�i• ^ <br /> L <br /> .. J � ' . . . . . ' . . . . . . , j. . <br /> � � ' � i,. . . . - �. .. � , . ' . . . . � . . . � . . .. <br /> . .. .. . . ' . . . . . � . ' . � � . . .. <br />�.�: ... . '. � " .� . ... .- . . . � . . � . , . � , <br /> � <br /> r�.. ,,..�._ .:'... ,.. .� ::.,.4 . �-�:... �. . .. ... : ::'„ . . � .. ���� . � .. .- .. , ��"� .. <br />