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� <br /> ' SYSTEM DESCRIPTION <br /> HEATING SYSTEMS <br /> Quantity: �;, <br /> Make: \S'Gv�L <br /> Model: \v.��'� y l% �.'`'t V_�'iL <br /> FueL ,v [^� `— <br /> � J <br /> Flue Size: <br /> Input BTUs: �1� �,� ��, <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> Gas factory fireplace <br /> Wood burning factory fireplace with flue <br /> Wood Stove <br /> Wood stove with flue <br /> Brand Name Model No. <br /> VENTILATION <br /> No. Kitchen Exhaust duct recalculating cfm <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 or outside <br /> LP Gas: gallons <br /> Other Gas opening <br />