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i� A <br /> SYSTEM DESCRIPTION - ' <br /> HEATING SYSTEMS <br /> Quantity: � <br /> Make: ���`�����--� <br /> 'lor4c�✓C;3 b v�v <br /> ModeL• <br /> Fuel: �.; ��1—�,S <br /> Flue Size: �,,�� �� � <br /> Input BTUs: l(.%�, �t;�� <br /> Output BTUs: Y�, C�v��; <br /> � <br /> CFM: v� <br /> COOLING SYSTEMS <br /> Quantity: 1 <br /> Make: ����'����ti 1 <br /> Model: .����—SX��-� <br /> Tons: i 2 <br /> H.Power � � <br /> FIREPLACES GAS LINE ONLY <br /> 0 Gas factory fireplace ❑ Installing a Gas Line Only <br /> � Wood burning factory fireplace with flue <br /> ❑ Wood Stove <br /> ❑ Wood stove with flue <br /> Brand Name : 1'��� Model No. <br /> i�.',,,�� _ _. <br /> VENTILATION <br /> Na >� 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 ❑outside <br /> ❑ LP Gas: gallons <br /> ❑ Other Gas opening <br /> 2 <br />