Wood Burning Online Appointment Form

 no yes
 AM PM
  1. Have we been to this house before?  Yes No
  2. Type of house:  Rambler Split 2-Story Other
  3.  Fireplace Wood Stove Furnace
  4. If a wood stove:
  5. Number of Fireplaces:
  6. Is the chimney above the roof line brick?  Yes No
  7. Do you have a Top-Mounted Damper (TMD)?  Yes No
  8. Is there any kind of heat-producing unit or Insert in the fireplace?  Yes No
     Heatalator Insert w/ liner
  9. Is the roof steep or difficult to walk on?  Yes No
 Shingles Cedar Tile Slate
 Outside Wall Interior Wall

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