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SYSTEM DESCRIPTION <br /> HEATING SYSTEMS <br /> Quantity: � ( <br /> r <br /> Make: —w� <br /> Model: P � � � �� ,( �0 S' <br /> Fuel: <br /> Flue Size: � r� ��� <br /> �„puc B�['us: �0 0 4 o v o 0 <br /> --�— <br /> output BTus: ,3 zF o a o <br /> CFM: 6 0 O <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 />