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ilk <br /> r _ <br /> HEATING SYSTEMS. <br /> ,Quantity` � ' <br /> Make. <br /> Model <br /> 1►' a <br /> Fuel <br /> Flue Size <br /> \ .. <br /> d 1 }- <br /> t` Input BTU$ <br /> .h{ f u �. h ✓ $ 1F t 5 - <br /> Output BTLTsIr <br /> 9 Fs,.-Y,h <br /> gr< <br /> Yf <br /> i j. COOLING SYSTEMS <br /> Quantity. _ �.. <br /> Make <br /> f <br /> Model: 77� <br /> - <br /> Tons. o v <br /> H.Power <br /> FIREPLACES <br /> Gas Factory Fireplace <br /> Wood Burning Fireplace <br /> ❑ Wood Stove <br /> ❑ Wood Stove With Flue ! <br /> Brand Name: Model No.: fjO <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfrn <br /> El No. Other Fans: Locations cfm <br /> FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons , <br /> LP Gas: gallons Underground ❑Inside E]Outside. <br /> Other: <br /> --------------- <br /> GAS LINE ONLY z <br /> ❑ Outdoor Grill <br /> ❑ Other/List What&Where: <br /> 2 <br />