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r <br /> ��'S'��IV� ��5�'�Z�P'TH�N � <br /> ��.�'T@P�d� SZ'S""�"��S <br /> �uantity: <br /> 1�ake: <br /> Model: <br /> Fucl: <br /> Flue Siz.e: <br /> Input BTlis: <br /> Output BTUs: __ <br /> CPM: <br /> �E3�I,�?V� ��'S`�'��S <br /> l'�uantity: _ __ _ __ _ <br /> l�Rake: <br /> Model: <br /> Tons: <br /> I�.i�'ower <br /> �'�����'"����:'�� �r.A.� �T?°�� C�i'd�:l' <br /> � C3as factory firepiace ❑ Installing a Gas Liz�e �niy <br /> V�'ood burning fac.tory i�replace wit1,1 flue <br /> ❑ ti�'ood stove <br /> ❑ '�3v ood stove ��✓;�ii `iue <br /> �_:';;���:1�,-7 I�Z�,t,��, R� G�' _ ='wion��i I`Zo. ���J� �il.�-w.� <br /> ;'��:T�'�t?�'F'I�h?�� <br /> lvo. Kitc?��n L?;.l�aust duct rec�lct�Iatine cfm .- <br /> T�Io. Bath Erhaust. (must have duct outside} cfm <br /> No. (.?ther Fans: Location� cfni <br /> F���, �'�'����� (T��IUST F3E f�FPROVED BY FIF.E MARSHAL) <br /> ❑ Installatior, �r ❑ Ftemoval <br /> ❑ �'i4el oi1: gallor.s ❑ underground ❑ inside ❑ouiside <br /> ❑ T_,P Gas: ^� �rallons <br /> ❑ Other ' Gas opening <br /> � � <br />