MessickStove
(856) 452-3700
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First Name:
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Last Name:
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Your Email:
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Telephone:
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Address:
City:
State:
Zip Code:
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Municpality where you pay your house texes. (Used for permits)
Subject:
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How Can We Help You?
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Project: Do you have all the materials needed to complete this project:
Yes
No - We need you to supply us with some materials
Stove: Type:
Wood Stove
Fireplace Insert - Wood
Pellet (Wood)
Fireplace Insert - Pellet (Wood)
Stove: Is it new:
Yes
No
Stove: Manufacturer and Model Name and Numbers:
Stove: Fuel Type:
Wood
Coal
Wood & Coal Combimation
Pellet (Wood)
Current Stove: Is there a current stove that needs to be removed:
Yes
No
Yes. We will remove the stove ourself.
Building: Ceiling Height of Room Where Stove Would Like To Be Installed:
Building: Type:
Home
Building / Workshop
Building: Number of Floors:
1
2
3
4
Building: Room Where Stove is Located in:
Living Room
Den
Other
Building: Floor Where Stove is Located on:
Main Floor
Basement
Second Floor
Third Floor
Porch
Building: Roof Material Type:
Asphalt - Standard on most houses (3 Tab or Architect Shingles)
Metal
Other
I do not know
Building: Roof Pitch:
4/12
5/12 - Normal can walk up it
6/12
7/12
8/12
9/12
10/12
11/12
12/12
I do not know
Current Chimney: Do you have a existing Chimney System:
Yes
No
Current Chimney: If you have a existing chimney system, what size is the exhaust:
6"
7"
8"
8" x 8" Terra Cotta Flue (Orange or Red Color Clay)
9" x 16" Terra Cotta Flue (Orange or Red Color Clay)
12" x 12" Terra Cotta Flue (Orange or Red Color Clay)
I do not know
Current Chimney: If you have a existing chimney system, what material type:
Stainless Steel Chimney
Stainless Steel Liner
Masonary Brick (Orange or Red Color Clay)
I do not know
NEW Chimney: Do you need a new chimney:
Yes
No
I do not know
NEW Chimney: TYPE: (If you need one):
Stainless Steel Pre-Fab Double Wall Insulated
Stainless Steel Liner
I do not know
NEW Chimney: STYLE: (If you need one):
Through Wall
Through Ceiling
Not sure yet. Could go either way.
NEW Chimney: HEIGHT: (If you need one)
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