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4 <br /> 4 <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 ā‘ Installing a Gas Line Only <br /> Wood burning factory fireplace with flue <br /> Wood Stove <br /> n Wood stove with flue <br /> Brand Name 442 ci.#- J GC. Model No. S C c j.. 2 C <br /> VENTILATION <br /> No. Kitchen Exhaust duct recalculating cfm <br /> No. Bath Exhaust(must have duct outside) cfm <br /> No. Other Fans: Locations .0__igoionity416 noH r. <br /> 8 Ah4,4> AbtiF 9' F <br /> o o etas 5lā€” <br /> FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHA Oe'' <br /> titea MM tt2 <br /> Installation or Removal <br /> Fuel oil: gallons n underground ā‘ inside _outside <br /> ā‘ LP Gas: gallons <br /> Other Gas opening <br /> 2 <br />