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M <br /> r , <br /> S <br /> SYSTEM DESCRIPTION <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: 6•f/Ci4 070X30 <br /> Fuel: rrt�a`� <br /> Flue Size: <br /> Input BTUs: S g 0 e o t <br /> Output BTUs: (53'0 4 6y aTU/J-7 <br /> CFM: /660 <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: VC,4 <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 /> ❑ Wood stove with flue <br /> Brand Name Model No. <br /> VENTILATION <br /> No._L Kitchen Exhaust duct recalculating 300 cfm <br /> No. S Bath Exhaust(must have duct outside) b"0 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 />