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From:COUNTRYSIDE HEATING & COOLING 763 479 2518 12/16/2013 14:46 #880 P.002/003 <br /> jv4} iaf .sal crC r5-_:-CISAt? e @ IFI p`"WF ,'s. 4v.ggE.r}4i,J> 7-L:-.o-' l! <br /> Note: All Geothermal System;will now require a Site Plan&Review by out-Building Official. <br /> IS THIS GEOTHERMAL? ❑Yes ❑No <br /> HEATING SYSTEMS <br /> Quartiy: <br /> Make: a,„�. / q <br /> Model: Cfg& ji')b6lcc0/ <br /> Fuel: ;\(- 6- <br /> Flue Size: <br /> Input BTUs: ECC 00 <br /> Output BTUs: 9 7 000 <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantiy: 1 <br /> Make: Ri tiel1a11 <br /> �I <br /> Model: f , /ArAC � <br /> Tons: /e�-. <br /> H.Power /!! <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove ModelNo.: <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfin <br /> ❑ <br /> No. Bath Exhaust(must have duct outside) cfin <br /> No. Other Fans: Locations cfn <br /> FUEL STORAGE (Must be approved by Fire 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 />