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From Heating and Cooling Two 1.763.428.3682 Wed ]an 24 13:15:58 2018 MST Page 3 of 4 <br /> � , <br /> Note: All 4eothermal Systems w.ill now require a Si�e Plan&Review by our Builciing Of#icial. <br /> ' IS THIS GEOTHERMAL? ❑Yes ❑No � <br /> -AEATING 3YSTEMS <br /> Quantity: E f l <br /> `���,�►-.� ��-�t <br /> Make: �'�� --- . __----- - 1�T � <br /> Model: �Z���IObD$D 1�1 ��JQ���G�v t� <br /> F.uel: Ysjda! �6'{�3 �A� �i'�'s : �/�'T 6!`�$. <br /> Flue Size: �`n �"� �i� �V L ���U�. <br /> Input BTUs: _�� �;C)Gt'7 (,S ajt�� <br /> Ou ut BTUs: �7�GO �h� (�{'J��i,c�G <br /> tP —i .__ . . <br /> c�: �� I�nc� '�(a.. <br /> COOLING SYSTEMS <br /> Quanaty_ 1 t <br /> Make: '��Z�{� �t��d�l� <br /> Model: 17�9�1��-[�� l7.Got�f-t1�i'3.6 <br /> Tons: � 7i" <br /> H.Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> _ � Wood Buraing Fireptace <br /> ❑ Wood Stove Mod�I Nu.: <br /> ❑ Wood Stove with Flue/Masonry . <br /> VENTILATION <br /> ,;'"� N�. � Kitcheii Exhaust � duct recirculating OC� cfm <br /> � � No. __!�_ Bath Exhaust(must have duct outside) �U cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fiee Marshall if proposing to abandon tank in plac�) <br /> ❑ In§tallation ❑ ResnovaI <br /> Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY . <br /> ❑ Outdoor Grritl �. Other 1 List What&Where: Z �7�`'f�--,s <br /> c r��� <br /> - 2 :� �<<�P�� <br /> (;�.t��a�, �-i �T aa-�� <br /> t ����,� <br />