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� _ , <br /> S�'S'�'�1N�DLSCk2Ii�'�'IQN . " <br /> �-��A'L'IN�: S�'S`F'�:]i�S <br /> Quantity: <br /> 1�1 ake: <br /> Model: <br /> Fuel: <br /> Flue Siz,e: <br /> Input 73Tlis: <br /> Output BTUs: <br /> �FM: <br /> �O�L,I?V���'S�'�i'vSS <br /> Quantity: --- <br /> Make: <br /> Madel: <br /> Tons: <br /> H. 1'ower <br /> �'?�?�;y'�1.��'F� �:�� L�?`dt�' �1��'.� <br /> [f Gas factory firepIace ❑ Installing a Gas Lir�� �z�Iy <br /> ❑ VJood burning facto�v treplace witl� flue <br /> ❑ �-tiToad 5tove <br /> ❑ s7vood stove with i3ue <br /> 1 <br /> E:and l�,'arne JL' C���' _ I��iodel l�Tc. �5�_ ��'T''/�' jj <br /> �J�1�''�'��,�'�"��I�' <br /> 210. Kitct�en Lxhaust duct recalculatin� cfm <br /> No. Bath Exhaust(illust have duct outside) cfm <br /> 1�10. Other Fans: Locations cfm <br /> F'�J�L S'�'���E (MUST BE APPROVFD BY FIRE MARSHAL) <br /> ❑ Installation or ❑ Reinoval <br /> ❑ Fuel oil: gallons ❑ under��round ❑ inside ❑oufside <br /> ❑ T P Gas: gallons <br /> ❑ Other ' Gas cpening <br /> , 2 <br />