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' 10-20—'17 10:04 FROM— T-996 P0002/4004 F-374 <br /> . NiEGHANTCAL.SYSTEMS$EING INSTAL���7��. �:' . `. . <br /> N'ote:A11 Geothermal Systems will now rcquire a Site lan&Review by our Building Offici&1. <br /> IS THiS CCEOTHERMAY,? ❑Yes ❑No <br /> HEATING S'YS'T�1VIS <br /> Quantity: <br /> Make: <br /> Model: <br /> �'uel: <br /> Flue Size: <br /> Input BTUs: <br /> O�rtput BTUs: <br /> CFM: <br /> COOY,YNC SYST�MS <br /> Quantity: <br /> Make: <br /> Modtl: <br /> Tons: <br /> Y�.power <br /> IR�FLAC� .J_ /f�f� <br /> l�' � ,.... ,_. .. .., f'7�/ � <br /> Gas��a'c,,tvrY;�.�P��e� �i�tidName� ;:::'�.;';°:;,;.;.;.,..: <br /> ❑ s.atid,�A��i�re,„p ace .., .., . � <br /> � oUp�--;�, <br /> ❑ :;aq�:St�x�)� _ (NiQa_QiN°J ,,,.,� <br /> [� _.qdd St`ove:riritl�Flde%Mason,�',� <br /> 'V�NTI�,ATXON <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. � Bath�xhaust(must have duct outside) cfm <br /> ❑ hTo. Oth�r�'ans: X�ocations cfm <br /> FC)��,S"1'4RAG� (Must be approved by FFre Mars/,all rfproposit,g to obnndon 1ar�k�'re�nlac�) <br /> ❑ Instailation ❑ Removal <br /> Fuel Oii: gallons ❑ Undcrground ❑Inside ❑Ouuide <br /> X.P Ctias: gallons <br /> Other; <br /> c�,s r�rr,�a�v�Y <br /> ❑ Outdoor Grill [] Other/Trist What&Wherc: <br /> 2 <br />