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,Aug 30 a 7 08:15a Twin City Fireplace 9529422093 p.2 <br /> �exarrrc�sxs�M :�Et��:t�vs�'�,�:�n � �. <br /> Note: AlE Geothermal Systems will now reqaire a S te Plan&Review by our Bu�lding O�cial. <br /> IS THIS GEOTHERMAL? ❑Yes �No <br /> HEATING SYSTEMS <br /> Quantity_ <br /> 141ake: <br /> Ntodei: <br /> Fuel: <br /> Elue Size: <br /> Input$Ti)s: <br /> Output BTUs: <br /> CPM: <br /> COOLi1VC SYSTEMS <br /> Quantity: <br /> Make: ' <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> � Gas Factory Firepiace Brand IVame: ��rqUIS <br /> ❑ Wood Burning Fireplace <br /> ❑ wooa sco�e �oae�No.: Grand Infinite LPnear Multi-Sided <br /> ❑ Wood Stove with Flue/Masonry Fireplace <br /> VE�ITILATI�N <br /> ❑ No. Kitchen E�thaast duct recircutatin�; cfm <br /> ❑ No. Bath Exhaust(must have du t outside) � <br /> ❑ No. �ther Fans: I.ocations �� <br /> � <br /> FUEL STORA�GE {Mrrst be approved by Frn MarshaCl ij roposing io abandoa tQn1F ix place.) <br /> ❑ Insta,llation ❑ Remaval <br /> Fuel Oil: � gallons ❑ Underground ❑Inside []Outside <br /> LP Gas: gallons <br /> Other: <br /> GA5 LINE ON�.Y i <br /> �i <br /> ❑ Ontdoor Grill ❑ Other/L.ist What�&W here: <br /> 2 <br />