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f <br /> SYSTEM llESCRIPTION � � <br /> HEAT'INC S�'STEIVIS <br /> Quantity: <br /> Tvlake: <br /> I�lodel: <br /> FueL• <br /> Flue Size: <br /> Input BTUs: <br /> Outpiit BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: _____ <br /> Make: <br /> Model: <br /> Tons: <br /> H. Power <br /> FIREPLACF.S C�AS L,i�dE QNLI' <br /> �,� Gas factory fireplace ❑ Installing a Gas Line Only <br /> ❑ �'ood burning factory fireplace with flue <br /> ❑ Wood Stove <br /> ❑ Wood stove with flue <br /> i <br /> Brand IVame �_G=� V�1 � �' _ �t�lcdel No. ���j��;�t-: �'�=--/Z - <br /> V�N'TaLATi�1d' <br /> No. Kitchen Exhaust duct recalculating cfm <br /> No. Bath Exhaust (must have duct outside) cf <br /> No. Other Fans: Locations �.,.,,����'�`���� <br /> l i�,.�. �'�1�!d� <br /> 0�4'3t�':�! fl�i�8i_? <br /> !wA w�rir.+s� N E9i�' <br /> FUF,L STOIdAGE (MUST BF APPROVED BY FIRE MARSHAL)r-: � ;R+: <br /> ❑ Installation or ❑ Removal <br /> ❑ Ft�el oil: gallons ❑ undei-ground ❑ inside ❑outside <br /> ❑ LP Gas: gallons <br /> ❑ Other Gas opening <br /> 2 <br />