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, . <br /> � ' <br /> SYSTEM DESCRIPTION <br /> HEATINC SYSTEMS ���Y ���i-� k%�GJGrli.,f�— �-�iZ.�ZerY��' <br /> / d��r <br /> Quantity: <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs: <br /> CFM: <br /> coo�iNc svsTEms ,,�oc��N� /•rJ 2,i N t�rSL%��-�� �Jt2 �� n�a✓� �� .�- <br /> Quantiry: _ <br /> Make: <br /> Model: <br /> Tons: <br /> H.�'ewec <br /> FIREPLACES <br /> V Gas factory fireplace <br /> Wood burning factory fireplace with flue <br /> Wood Stove <br /> Wood stove with flue <br /> Brand Naine �/rl � (9�W Model No. ��v�%��-���� � � <br /> VENTILATION <br /> Na Kitchen Exhaust duct recalculating cfm <br /> No. Bath Exhaust(must have duct outside) cfm <br /> No. Other Fans: Locations cfin <br /> FUEL STORAGE (MUST BE APPROVED BY F[RE MARSHAL) <br /> Installation or Removal <br /> Fuel oil: gallons underground inside or outside <br /> LP Gas: gallons <br /> Other Cas opening <br />