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. <br /> . ' � , <br /> , ' � <br /> SYS"i'EVI t)�SC�2IP'FION � <br /> I�EATI1�dG Sl'STEIVIS <br /> Quantity: <br /> Ivlake: <br /> Model: <br /> FueL• <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs: <br /> CFM: <br /> �O�E,IIVG Sl'S'd'�1VIS <br /> Quantity: _ <br /> Make: <br /> Model: <br /> Tons: <br /> H.1'o���er <br /> ��A�IIi�LJ��F�I.� �3.�5 JLJY!V� VLr1AJJl <br /> h <br /> � Gas factory fireplace ❑ Installing a Gas Line Only <br /> �'ood burning factoiy fireplace with flue <br /> ❑ `v�'ood Stove <br /> ❑ Waod stove with ue <br /> Brand 1'�ame ��� � � �� ��--- <br /> Modei No. �����(��,ti <br /> �'�1`d'�'��,A.'�'I�Pti <br /> lVo. Kitchen Exhatist duct reealcuIatino cfin <br /> No. Bath Exhaust (must have duct outside} cfm <br /> No. Other Fans: Locations �p,,�,�,�,;. <br /> �+�+ A �t+aN+� si�esrr:^� �r+:; <br /> �'�JLL S�'Q�RAG� MUST BE APPROVED BY FIRE MARSH �`����� ��`�+•,'�={ <br /> ( �i►�.�►�� ��+ . � c <br /> rrr��;�rtM :�4«,; .. , <br /> ❑ Installation or ❑ Removal T�'� <br /> ❑ F.�el oil: gallons ❑ underground ❑ inside ❑outiside <br /> ❑ LP Gas: gallons <br /> ❑ Other ' Gas opening <br /> ' 2 <br />