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01iO3i2011 11:27 DITTER INC � 9522494616 N0.238 D03 <br /> , . <br /> , .. ., ... ,.,. ,, „ <br /> � ������~°'��' �1�1���� : '�IyLA�'���&�'���°;�����INSTA�T��.� ;�:���;; <br /> Notc:All Geothermal 5ystems wil)now require a Site Plan&Review by our�uilding OfFicial. <br /> 1S THl3 CCOTHERMAL? ❑Yes �No <br /> H�ATINC SYSTEMS <br /> Quantity; <br /> , <br /> M�:c: <br /> Modeh ���x �{� <br /> �uel: �� <br /> i'lue Size: a' �v Y � <br /> lnput BTUs: U <br /> o�ut�rus: �S, 0 DO <br /> cFM: (0� G l� <br /> coo�.rNc svsr��rs <br /> Quantiry; <br /> tvta�ce: G�,r�r 1 pLr <br /> Model; �� <br /> Tons; 4�� <br /> � <br /> }-1.Power � <br /> F�I�F pTaACCS <br /> Gtu Factory Fireplace H�and Name: <br /> Wood Buming Firepl�c:e <br /> Wood Scovc lvZodel No.: <br /> Woocl Stave With Rlue <br /> V�NTILAT.ION <br /> No. Kitchen Exhaust duct recirculaLing cfm <br /> No. �_ Bath Exha�st(must have duct outside) ��cfm <br /> No. Olher Fans: i.ocatiaos cfm <br /> FUGL STaRAGE (Mu.rl be approNed by�7re hlr�rshtdl lf proposing eo aDairdon tarel�ln pdnce.) <br /> ' � Installation � Removal <br /> Fuel Oil: �allons ❑ Unde.rground ❑ fnside ❑Outside <br /> LP Ga3: gallons <br /> Ofl��r: <br /> GAS LiNE ONLY . <br /> � Outdoor Grill � Other/List What&Where: <br /> 2 <br /> I <br />