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47-41-'15 16:33 FROM- T-042 P0402/0404 F-244 <br /> ___._---_..---------- ...._.._. . . _....._ _ _. <br /> ��� �� �� '� a i>s �� ;�.„� 'ti � s, � <br /> Note: All Geothermal SystemS wi11 now requirc a Sitc Plan&Ete�i�w by our Building Official. <br /> IS THIS�EOTH�RMA�,? ❑Ycs ❑No <br /> ��ATyIVC SYST�MS <br /> Quantiry; <br /> Make; ._ ,�.�,,..,,,,�,._„ <br /> MotleL <br /> �uel: ,.�.wu„� <br /> FEuc Si2c: <br /> Input BTUs: _ <br /> Output�Tl1s: T ^ ' <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: ' <br /> i <br /> Make: ; <br /> � <br /> Model: � <br /> Tpns: <br /> �.Power �,_.. ___�._��.,.. �..M. . . <br /> Y�Y12�priAG�qi <br /> (� �C�as�?aGtaryN�repl�cet . �t3r��d�l�ri+e.' (��A�"��G�*�,����:�HT <br /> ❑ ��'�loQd�#���ltng�ibeP.Y���; <br /> ❑ ,�J��si�ii5tova'' IV1o�,clNo':a ;,fQQQ���F!.�•�X�)'.'&';.,('a��T43361 <br /> ,,. ,.: .r.._..�.. <br /> O V+ropd stqv�;yv�cta�'�uz'(MasoF�ry,� <br /> V�NTZX�A1f�ON <br /> ❑ No. Kitehen Exhaust duet recireulating cfm <br /> ❑ lVo. u_ Bs�th Exh�ust(must hAve duct outside) cfm <br /> �f No. Other Fans: Locations cfm � <br /> �'�1�C.,S'T'ORAC� (A1ust be appruve�i by F}re ll�arshnll if propusing to rab�ndore tank r�t plaee.) <br /> [� YnstallAtion [T] Removal <br /> Fuel Qil: gallons ❑ Underground ❑Insidv ❑putside 4 <br /> LP Das: �gallons <br /> Otl�er: <br /> ,4 <br /> GAS LINE ONLY � <br /> �I <br /> ❑ Outdoor Crill ❑ 4ther/List'What&Whara� � ' <br /> 2 ' <br /> I� <br />