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<br /> HEATING SYSTEMS -
<br /> QuantitY: � �
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<br /> FIREPLACES : , , �; , , , �: - :
<br /> ❑ Gas Factory Fireplace
<br /> � � Wood Buming Fireplace
<br /> -.. � � ' 'Wood Stove
<br /> ❑ Wood Stove With Flue , . �
<br /> ._ _ . ,
<br /> _ , .; ` . . . .
<br /> Brand Name: Model No.. ...
<br /> . _ , -. .
<br /> ,, VENTILATION , - : :. . .,
<br /> ❑ No. Kitchen Eachaust � duct recirculating ��
<br /> `[] No. Bath Exhaust(must have duct outside} :��
<br /> ❑ . No. Other Fans: Locarions .
<br /> - _ cfm
<br /> ' FUEL STORA,GE(MUST BE APPROVED BY FIRE MpRSHALL) � .
<br /> . - ❑ Installation � , Removal
<br /> Fuel Oil: gallons , . _
<br /> . LP Gas: gallons ❑ .Underground ❑Inside ❑putside.
<br /> Other:
<br /> GAS LINE ONLY �
<br /> ❑ ` Outdoor Grill ❑ Other/List What&Where:
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