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Feb 13 18 07:23a Mike 763-262-9332 p.2 <br /> . <br /> . �,� , <br /> � MECHAIVICAL SYSTEMS BEING INSTALLED <br /> Note:All Geodiermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMALT ❑Yes ❑No <br /> HEATING SYSTEMS <br /> Quantiry: � <br /> Make: (.tri/�<,� <br /> Model: GJ,s � <br /> r <br /> Fuel: ��� <br /> Flue Siu: [�� lo��— <br /> Input BTUs: � <br /> Output BTUs: 7 �U JC1 <br /> CFM: l Z,r9�0 <br /> COOLING SYSTEMS <br /> �,�,t�ty: / <br /> Make: Gwl��/ <br /> Model: �y��V <br /> Tons: �_ <br /> H.Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood Bumin�Fireplace <br /> ❑ Wood Stave Model No.: <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATiON <br /> [� No. � Kitchen E�chaust duct recirculating cfrn <br /> [� No. �_ Bath Exhaust(must have duct outside) cfin <br /> ❑ No. Other Fans: Locations cfin <br /> FlJ EL STORAGE (Must be appmved by Fire Mwshall rf proposing[o abandon tank irt place) <br /> ❑ ]nstallation ❑ Removal <br /> Fuel Oil: gallons ❑ Undergrourtd ❑]nside ❑Outside <br /> LP Gas: galtons <br /> Otlter: <br /> GAS L1NE ONLY <br /> ❑ Outdoor Gril] ❑ Other;List What&Where: <br /> 2 <br /> Tlie undeisigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all <br /> work in strict accordattce with the ordinances of the City and the regulations of the Staxe of <br /> blinnesota,and certifies that all statements m e on this application are complete,true and correct. <br /> Applicant's Signature: �L �`�^' Date: �/'3 �� _ <br />