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JUN/20/2016/MON 08:53 AM Heating & Cooling 2 FAX No, 7634283677 P, 003 <br /> ,,: .. <br /> � � ,;. fi,Ai.;.SY'�'I�M�='$�����T�.���.?�_. ;��:_�'�:�`*�::�s: <br /> Note:,All Geothermal Systems wilY now require a 5ite Plan di Review by our Building Official.. , <br /> iS TFiIS GEOT�RMAi,'� ❑"Y'es �No <br /> �ATING SY5TEMS <br /> Quantity: � � <br /> Make: �Y , -- . <br /> Modak; <br /> , <br /> -�--�-------- ._ _.-•---..._...._.._. _...._...._.... - --�----� ---�-------��--��-----____._.—._._.--------------.__...__. <br /> - � �lacl; . <br /> . . _..._..__......_..._.... <br /> F]ue Size: �. — � <br /> Input BT'C.Ts: <br /> Output sTUs: <br /> CFM: <br /> COOY.ING 5YSTEMS � <br /> ���: � <br /> ��: , � _ <br /> Model: �� ���d <br /> ToIls: �..,�..� r. <br /> �I.Power <br /> F,�REPLA� <br /> ❑ Gas�actory Firoplsce Hrand Nam.a: � <br /> [] yVaod$urning Fireplacc <br /> ❑ Wood Stove Model N'o.: <br /> ❑ Wood Stove wath�'Iue/Masonry <br /> V'ENTII.,ATYON <br /> [] No. YCitchen�xhausf duet, recixculating efm <br /> � I•7o, Bath�xhaust(must Iaave duct outside) �� <br /> ❑ No. _ Other Fans' T,.ocations c�n <br /> . F'TJ��,STORAG�; (Mr�st be approved by FIIre Marshal!'tf prapos�g to abarndon tarRl�Fia place.) <br /> ❑ lnstauation ❑ Removal <br /> F1ze1 pi1; gallons ❑ iJndergFozmd Q Insidc ❑Outside <br /> LP Gas: ,�,.,�ons <br /> pther: <br /> GA8 LINE ONLY <br /> ❑ Qutdoor Cxrill [� Ot�aer I List What 8r Where: <br /> 2 <br />