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�' i:: _ <br /> r� a <br />�; � <br />�'_,... . . .. .- <br />�; 1 <br /> SYSTEM DESCRIPTION <br /> 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 /> 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 /> 4,;., ❑ Wood burning factory fireplace with flue <br /> ❑ Wood Stove <br />��' ❑ Wood stove with flue <br /> .,,. <br />,;� �' �/, <br /> Brand Name�G'��-��-r/�-� Model No.��D��y/_���,� <br /> VENTILATION <br />�,`=' <br />-F No. Kitchen Exhaust duct recalculating cfm <br />��� <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 /> 2 <br /> ,,.5, u. � . . . .. <br />�. � � <br /> . .. . 9 . . . � . ,. <br /> � ..'�a � � � . . . . . ... . <br /> � . <br /> . . . _... .. ,. i�.r. , .. . - � • . . ... , � . ... . .. . . . . � .. . .. . _. <br />