Laserfiche WebLink
r N. <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 /> ❑ Wood burning factory fireplace with flue <br /> ❑ Wood Stove <br /> ❑ Wood stove with flue <br /> Brand Name 41ec.t A) Model No.2Tw"-U � <br /> VENTILATION <br /> No. Kitchen Exhaust duct recalculating cfm <br /> No. Bath Exhaust(must have duct outside) <br /> No. Other Fans:Locations ' `� � <br /> wmr,N C �it►i�Na NHae + rdb <br /> ON`StaOS aen�a�� <br /> FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHA)t P NM 01Ov6000 <br /> r lk'.S'•re8'r$iI <br /> ❑ Installation or ❑ Removal <br /> ❑Fuel oil: gallons ❑ underground ❑ inside ❑outside <br /> ❑ LP Gas: gallons <br /> ❑ Other Gas opening <br /> 2 <br />