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06/15/2617 15:07 3206790356 RJ MECH PAGE 03/04 <br /> �; •,,,,.�..-i;,,,...�.,�:, .. :,.-. <br /> ;w_yx.;�.`:�+;,�:,�'.�;. ^�;. <br /> Note:All Geothermal Systems wzl.l.ndw require a 'te lan&Review by our Building Of6cial. <br /> �S THIS GEO'I'k���tMAL? �Xe.� �No <br /> �a'rnvc sYSTrn�s <br /> Quantity: <br /> �4lalce: <br /> Model: <br /> Fuel: � <br /> Flue Sizc: <br /> Input BTUs. <br /> Outpnt BT'Us: — . <br /> CFM: <br /> coor�nvc 5xS7C�Ms <br /> Quantiry: <br /> Make: <br /> Model: <br /> Tons: � <br /> H.Powcr <br /> FIREPLACES <br /> ❑ Gas Factory FirCplace Brand Nente: <br /> ❑ Wovd Burning�ireplace <br /> ❑ W ood Stove Model No.: <br /> ❑ Wood Stovc with Fl.ae/Masonry <br /> VENTiLATIUN <br /> ❑ No_ Kitchcn Exhaast duct recirculating cfm <br /> ❑ Na. Bath Exhaust{�nust have duct outside) cfm <br /> ❑ Na. Othcr Fans: Locatioos cfm <br /> FITEL STORAGE (Must be approveaf by F:re Mersha!!if prnpasorg to a6andon tmRk ue,plae�) <br /> � Installstion ❑ Removai <br /> Fuel 0i1: gallons � Undcrgraund ❑inside Q Out�ide <br /> LP Gas: ,,,,�gallons <br /> Other: <br /> GAS LINE UNLY <br /> ` r-�� t, �b <br /> ❑ Outdoor Grill � Othtr/List What&Where: --_1-.V--_--=__-�S t►1�Q,. <br /> �f'.i�.� � (�l Yv� S V�-�,��''J� �j R�1�►o�v'c,��"' <br /> � <br />