Crew Chimney Cap Worksheet Customer's Last Name:(Required) Purchase Order Number(Required) Ordered By Name:(Required) Order Date:(Required) MM slash DD slash YYYY Built By Request Date:(Required) MM slash DD slash YYYY MaterialStainlessCopperOtherIf Other, which material? Powder Coated Yes No Type of Chimney Cap:Outside MountTop Mount"Other"If "Other", please list which chimney cap: Lid StyleFlat/BasicHip/Ridge with Standing SeamsHip/Ridge"Other"If Other, which lid style? Width of the base (shorter side in inches) Length of the base (longer side in inches) Screen Height (Measured in Inches)12 in. "Standard"10 in.8 in.14 in.16 in."Other"If "Other", please list additional information here: Vertical Skirt (Measured in Inches)3 in. (Standard)4 in.5 in.6 in.OtherIf Other, please list additional information here: Horizontal Skirt (Measured in Inches)2 inches (Standard)3 in.4 in.6 in."Other"If Other, please list additional information here: Lid Overhang (Measured from screen to outer edge of lid in inches)5 in. "Standard"2 in.OtherIf Other, please list additional information here: Sales Rep and/or Installer Name: Additional InformationCap NotesConsent(Required) Note: Sales Rep & Installer are accountable for correct measurements and specs. I agree that I have verified all of the information above. Δ
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