Sweep's Library - Fireplace Measurement Form

To verify sizing, print this page, fill in the blanks, and FAX it to us at (360) 676-9080.
I'd like to know if _________________________________________________________________ will fit my fireplace.
NAME___________________________________	I: FLUE OPENING: ________ X _______

E-MAIL ADDRESS_________________________	J: CHIMNEY HEIGHT: ________FEET

TELEPHONE______________________________	K: IS CHIMNEY LINED? YES____NO_____

DATE___________________________________	L: FLUE OFFSETS ______FEET FROM TOP

A: OPENING WIDTH: TOP_____ BOTTOM______	M: COMBUSTIBLE MANTEL? YES____ NO____

B: OPENING HEIGHT: LEFT_____RIGHT______	DISTANCE ABOVE HEARTH: ______INCHES

C: DEPTH OF FIREPLACE FLOOR: __________	MANTEL WIDTH_______ DEPTH_______

D: DEPTH AT 23" ABOVE HEARTH:__________	N: HEATFORM? YES______ NO______

E: WIDTH AT BACKWALL: __________	O: FIREPLACE HAS OUTSIDE AIR: Y___ N___

F: HEARTH DEPTH: _______ WIDTH:_______	P: ASH DUMP? YES______ NO______

G: HEARTH RAISED __________" FROM FLOOR	Q: IS CHIMNEY ON AN OUTSIDE WALL?_____

(CHECK ONE) SLAB_______ SOLID_______	R: SIZE OF HOUSE: __________ SQ.FT.

H: FACIA MATERIAL:_____________________	INSULATION: GOOD__ MEDIUM__ POOR__