Laserfiche WebLink
t- w <br /> , a <br /> SYSTEM DESCRIPTION <br /> HEATING SYSTEMS <br /> Quantity: � <br /> Make:. � � <br /> Model: �J�C..�Oq0-1—l4� <br /> Fuel: S <br /> Flue Size: <br /> Input BT'Us: � <br /> Output BTUs: bv <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: ' <br /> Model: �T�A Q��} <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 No. � � <br /> VENTILATION <br /> No. Kitchen Exhaust duct recalculating cfm <br /> No. Bath Exhaust(must have duct outside) cfm <br /> No. Other Fans:Locations cfm <br /> FUEL STORAGE (MUST BE 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 />