Laserfiche WebLink
� <br /> w;;=, _ - � <br />.'��:, <br />(7�: <br /> SYSTEM DESCRIPTION <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> Input BTCJs: <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�lJ�/>�J2C–��iZC Model No. �i2 v�_"'�� <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 />�;�� <br />=� ❑ LP Gas: gallons <br />�' ❑ Other Gas opening <br />��� <br /> 2 <br />� s �, � � � � � � � � <br /> ,� <br /> _ . , .. . ... � � r t;�':���� . � . Y <br /> , . <br /> ,: : . ,:��. .. . . ' .. <br /> , , '_ '�s56�«� ,r �_.1.:.. ._�vl�,.r.� .. - - .« . ...� �. -v.x.Y. . . _ ... ,�+��. <br />