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Apr, 24. 2018 2: 16PM No, b048 P, 2 <br /> Note;All C,�eothermal Syetems will now require a Si 8c Rg�e�vv by our Building Official. <br /> IS TTiIS CEOTI�EAMAL? ❑Yes ❑No <br /> HEATING SYSTEMS <br /> QuantiCy: + <br /> Makc: 'l.. <br /> Model; � �� � L"LpU�. <br /> �el: <br /> Flue Siu: <br /> Input BTUs: U <br /> Output BTUs� <br /> C�'M: <br /> COOT,YNG SYSTEMS <br /> QUBTitity; � <br /> � Make: <br /> Model: � Z <br /> Tone: ��s . <br /> H.Power <br /> �'IR�pY,AC�S <br /> (] Gas Factory�ireplace Brand Name: <br /> ❑ Vflood Bu�ning Fireplace <br /> ❑ Wood 5torre Model No.: <br /> ❑ Wood stor�e with�lue/Masonry <br /> 'VENT�TI�1 <br /> ❑ No. T�.itchen Exhaust duct recirculsting cfin <br /> ❑ No. Bath Lxhaust(must hava duce outside) cfm <br /> [� No. Orher Fans: Locations cfm <br /> FUEL STORAC� (l�lWst be approved by 1411re Marsl�a!!if propoaing to abanr!'on tank Pn pdac�) <br /> ❑ Installation ❑ Removal <br /> k'uel Oil� gallons ❑ Underground ❑Insido ❑Oubide <br /> LP Gas; galloas <br /> Other: <br /> GAS T,YN�ON'X,'� <br /> ❑ Outaoor Qri1l ❑ Othar/List What&'UVhere: <br /> 2 <br />