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SYSTEM DESCRIPTION , � <br /> HEATING SYSTEMS ' <br /> Quantity: <br /> Make: ���E'�' <br /> Model: (�v� � <br /> Fuel: =�_ <br /> Flue Size: <br /> Input BTC1s: (�V <br /> Output BTUs: �" ^ � <br /> CFM: _ <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> ModeL• <br /> Tons: <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 Na <br /> _ <br /> . . <br /> VENTILATION <br /> No. Kitchen Exhaust duct recalculating cfm <br /> No. Bath Exhaust(must have duct outside) cfm <br /> No. Other Fans: Locations �� <br /> FUEL STORAGE (MUST BE APPROVED BY FIIZE MARSHAL) ::..:......:.:.:.,...; ...,.;-::..:;:. . .. .: .. ... � <br /> ❑ Installation or ❑Removal <br /> ❑ Fuel oil: gallons , ❑ underground ❑ inside ❑outside x r-;;�� r:,;� . . • <br /> , ,. <br /> :,.. , <br /> ❑ LP Gas: gallons _.__ __ . _ _ _ . <br /> ❑ Other Gas opening • �� � , <br /> 2 <br />