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From:COUNTRYSIDE HEATING & COOLING 763 479 2518 07/19l2016 10:14 #157 P.002/004 <br /> ' MECHANICAL SYS'i'EIvIS BEI�IG:�NSTAL.LED' �' `' <br /> Note:All Geothermal Systems will now require a Site Plart&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑ Yes ❑No <br /> HEATING SYSTEMS <br /> Quantiry: <br /> Make: <br /> Mode1: <br /> Fuel: <br /> Flue Size: <br /> input BTUs: <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: � <br /> Make: <br /> Mode1: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood Buming Fireplace <br /> ❑ Wood Stove Model No.: <br /> ❑ Wood Stove with Flue/Masonry naV� <br /> VENTI�.ATION �. �11�C.��(1rOV� ��(�/��fY�.S �VJ�S,� " ��'"" (i�.1 �' ��k <br /> ___�_- '` 30� �Y��/��' <br /> � No. Kitchen Exhaust � duct recircuiating cfin <br /> No. Bath Exhaust(must have duct outside) �� <br /> ❑ No. Other Fans: Locations �� <br /> FUEL STORAGE (Mus�be approved b}>Fire Marshal/if proposing to abandon tank in place) <br /> ❑ Installation ❑ Removal <br /> Fuel Oi1: gallons ❑ Undergroand ❑ Inside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill � Other/List What&Where:��( �� 4' Y �� <br /> � <br /> 2 <br />