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04/08/2013 MON 7: 53 FAX 763 473 8565 Sabre Plumbing & Heating 2006/007 <br /> Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑ Yes [ No <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: — <br /> ❑ Wood Burning Fireplace ----- ---___� <br /> ❑ Wood Stove Model No.: <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust_ _ duct _recirculating _cfm <br /> ❑-'' No. ( Bath Exhaust(must have duct outside) cfm <br /> ❑ No. .---_-- Other Fans: Locations._----. _--_-. - <br /> _ cfm <br /> FUEL STORAGE (Must be approved by Flue Marshall if proposing to abandon tank in place.) <br /> ❑ Installation. ❑ Removal. <br /> Fuel Oil; —gallons ❑ Underground ❑Inside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />