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� � <br /> SYSTEM DESCRIPTION <br /> HEATING SYSTEMS <br /> Quantih�: <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 <br /> _ ✓ Gas factory tireplace <br /> Wood burning factory tireplace with flue <br /> Wood Stove <br /> Wood stove with flue <br /> Brand Name MAJESTIC Model No. DVRT36RFN <br /> VENTILATION <br /> Na 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 />