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Firebox Premeasurement Form
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Client Information
Installation Date Requested
January
February
March
April
May
June
July
August
September
October
November
December
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3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
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2030
2029
2028
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
Your Name
Company
Phone
Email
Fax
Address
City
Zip Code
Notes
Requested Mantel
Mantel Style
CAMBRIDGE
CAIRNS
COOBER PEDY
PARLIAMENT
WINDSOR
VICTORIAN
WARRADALE
WAYVILLE
WILCANNIA
CASSIS
CASTELLINA
BROKEN HILL
BELMONT
CORVALLIS
COVINGTON
KENSINGTON
LANCELOT
MANLY
NULLARBOR
PITCAIRN
ROCKHAMPTON
ROSTREVOR
SAUSALITO
SIENNA
TUSMORE
VENICE
WALLAROO
WILLUNGA
CLASSIQUE
CANNES
CHATEAU
ST. TROPEZ
ROSELLA
AUSTRALIAN
DOMINIQUE
EUDUNDA
FLINDERS
GAMBIER
HERITAGE
HINDMARSH
KOONUNGA
MILLICENT
PARRAMATTA
RENMARK
WILLAMETTE
CAZADERO
BAROSSA
BENDIGO
CEDUNA
GOSFORD
GUNDAGAI
MANNIX
MILAGRO
PADDINGTON
PENFOLD
TONSO
QUORN
REGENCY
WOOMERA
BOOMERANG
BALLARAT
BRIGHTON
CLARENDON
MINGARY
ONKAPARINGA
QUEENSLAND
REYNELLA
URRBRAE
WEST LINN
WHYALLA
YARRA
BOLTE
CASDEN
Standard Hearths
Semi-Radius Hearths
Radius Hearths
COBAR
MACQUARIE
MONASH
COONAWARRA
Room
Family Room
Living Room
Master Bedroom
Other
Hearth Style
Standard (flush)
Extended (flush)
Raised
Raised & Extended
Finish
Paint Grade (white)
"Old World" Parchment
"Old World" Driftwood
Subfloor
Wood
Concrete
Both
Firebox
Direct vent/gas burning only
Wood burning/gas log lighter only
Dimension Descriptions
A = Inside width of firebox
B = Inside height of firebox
C = Outside width of firebox
D = Width from box to wall, window, niche, etc.
E = Width from box to wall, window, niche, etc.
F = Height of "black" - top of firebox (if applicable)
G = Height of "black" - bottom of firebox (if applicable)
H = Height from floor to bottom of firebox
I = Available height
J = Width from box to gas valve (if applicable)
Available Dimensions
A
B
C
D
E
F
G
H
I
J