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li <br /> ♦ � <br /> � I <br /> , /r i <br /> SYSTEM DESCRIPTION • ' � I <br /> � I <br />' HEATING SYSTEMS w I <br /> Quantity: �, <br /> Make: <br /> i <br /> Model: <br /> Fuel: <br />� Flue Size: <br /> I Input BTtJs: I <br /> Output BTUs: <br /> CFM: ! <br /> COOLING SYSTEMS <br /> Quantity: <br />� Make: <br />� <br /> r' <br /> Model: � <br /> I <br />' Tons: <br /> � <br /> , H.Power � <br /> i <br /> I <br /> FIREPLACES GAS LINE ONLY ' <br /> � Gas facto fire lace � <br /> ry p ❑ Installing a Gas Line Only <br /> ❑ Wood burning factory fireplace with flue ' <br /> ❑ Wood Stove I <br /> ❑ Wood stove with flue ' <br /> I <br /> Brand Name Model No._ q J/�'` _L.,u S��' "� <br /> VENTILATION <br /> No. Kitchen Exhaust duct recalculating cfin <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 ❑outside <br />�' ❑LP Gas: gallons <br />� <br /> ❑ Other Gas opening <br />� <br />� <br /> 2 <br /> I' <br />_.�_ __.. _ � .____ ._.__ ___ �_._�_,� �,.�z_�_ . ..�_�.�..__ , �,._._,_. �-- �- - ��-- - -- -- - - -_�.._.�� <br />