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ti n <br /> . � <br /> SYSTEM DESCRIPTION - <br /> HEATING SYSTEMS <br /> Quantity: � � <br /> Make: �.-.c u�e�'s�c���_ ���t� ��ct: r: <br /> Model: C_x V�'Y1 �j -0�'t����%i �b 5(o V✓ <br /> Fuel: �(c� (�ctS t-1 r[� fr�c', <br /> Flue Size: ��� �y�C� — <br /> Input BTCJs: ���Qf�O C�Ci <br /> Output BTCTs: ,�/ C; <br /> CFM: � �– <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> ModeL• � � L��, � <br /> � <br /> Tons: / <br /> H.Power j. � <br /> FIREPLACES GAS LINE O\LY <br /> �l Gas factory fireplace ���u�"-,�;- (_,.��, (-�;�,�;r�%(�c,�<. � Installing a Gas Line Only <br /> ❑ Wood burning factory fireplace with flue <br /> ❑ Wood Stove <br /> �I Wood stove with flue �,�� r rr�r r�.:E C:�;�+-i rt J� �.;t_��c.c c:T�C� <br /> Brand Name Model I�To. <br /> VENTILATION <br /> No. Kitchen Exhaust x duct recalcularing _�=G cfin <br /> No. �-�- Bath Exhaust(must have duct outside) �cfm <br /> No. C, Other Fans: Locations cfm <br /> FUEL STORAGE (MUST BE APPROVED BY FIRE�L�RSHAL) <br /> ❑ Installation or ❑ Removal . <br /> ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside <br /> ❑ LP Gas: gallons <br /> ❑ Other Gas opening <br /> 2 <br />