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_ . __ , _ <br /> . Prom:,je�sinke Fax:(612)444-3627 To: Fax: +1 j952�2494616 Page 4 of 5 06J0112016 7:12 AM ,. <br /> .. ;.. ; ; ,. <br /> � ��.HANICAI,SYS"T�1vs��':$�TI�ICr`1N�TA�.L . . . .. :;'a.' �, <br /> Note:.AIl Geotl�ermal Systerns will now require a Site lsn&Review by pur Building Off'icial. <br /> IS THIS GEOTIiERMAL? ❑Yes j�No <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model; <br /> Fuel; <br /> Flue S3ze: <br /> Input BTUs; - — <br /> Output BTUs: <br /> CFM; <br /> �5���6�NG SYSTEMS <br /> Quantity: �_ <br /> Mafce: `�`�,:.��b�$ . <br /> Model; m Jz� �fi <br /> � .r� <br /> Tons; <br /> H.Power ' <br /> FIl2E,_PLACES <br /> ❑ Gas Factory Fireplace Brand Name; <br /> ❑ Wood Burning Fireplace <br /> � Wpp�g��� Mode1 No.: <br /> ❑ Wood Stove with Flue/Masonry <br /> yENTILe�TION <br /> ❑ No. Kitchen Exhaust duct recirculating cfna ' <br /> ❑ No. Bath Exhaust(must have duct outside) �� ' <br /> ❑ No. Other Fans: T.ocation�s �� ', <br /> FUEL STORAGE (Must be approved by Fire l�Iarshall�J'propas�ng to abandon tank ln place.) <br /> ❑ Installation ❑ Removal <br /> Fue1 Oil: gallons ❑ Underground ❑Inside ❑ Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> (] Outdoor Grill ❑ Other/�,ist Whpt&Where; <br /> 2 ' <br />