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.i' � <br /> SYSTEM DESCRIPTION <br /> HEATING SYSTEMS <br /> Quantity: ( <br /> Make: �(,� /�Ih <br /> Model: / �/�'► <br /> Fuel: �q, �� <br /> � � <br /> Flue Size: /) d L, <br /> Input BTUs: � �O <br /> Output BTUs: �� D V <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: � / <br /> Make: �� C(� � � <br /> Model: �6l"F/���-� S',6 G t � � <br /> Tons: �� ��/ TO/JS <br /> H.Power <br /> FIREPLACES GAS LINE ONLY <br /> ❑ 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 Model No. <br /> VENTILATION <br /> /� <br /> No.�Kitchen Exhaust b duct recalculating�cfm <br /> No. Bath Exhaust(must have duct outside) cfm <br /> No._�Other Fans: Locations paoi•c� �f/Lv .2 �r cfm <br /> FUEL STORAGE (MUST�E 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 />