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08-09—'16 09:38 FROM— FIRESIDE T-408 P0002/0004 F-954 <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 /> ,J �G <br /> Quantity: ' t H1� <br /> Make: Tl H H T <br /> Model: Mez-?"o (0400 C�-X <br /> Fuel: 6q.5 <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs: g 1 0 000 <br /> CFM: <br /> COOLING SYSTEMS <br /> i <br /> Quantity: <br /> Make: C <br /> t <br /> Model., <br /> Tons: <br /> H.Power <br /> FIREPLACES / J <br /> Gas Factory Fireplace Brand Name: l�! <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove Model No.: lM-e2zv '7Z, (,,0006LX (0000(, A <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating ofm <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> ❑ No. Other flans: Locations cfm <br /> FUEL STORAGE (Must be approved by fire Marshall ifproposing to abandon tank in places) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside <br /> LP Gas: gallons i <br /> Other <br /> GAS LINE ONLY j <br /> ❑ Outdoor Grill ❑ Other/Inst What&Where: <br /> 2 <br />