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From:COUNTRYSIDE HEATING & COOLING 763 479 2518 05l19l2014 08:29 #961 P.002/003 <br /> Note: All G�eothermal Systems will now require a Site ]an&Review by ow�Building Official. <br /> IS THIS GEOTHERMAL? ❑Yes �No <br /> HEATING SYSTEMS <br /> Quantity: <br /> � <br /> Make: <br /> Moa�i: qi�S��l�O�OSI� --------- <br /> Fuel; _�_��_____ <br /> Flue Size: �~ v� <br /> ��-- ---- -- —_ __� <br /> Input BTUs: � G I <br /> Output BTUs: �� ____._________ _ �_ _.._.____. __._. <br /> CFM: <br /> �� -- - <br /> COOLING SYSTEMS <br /> Quantity: _�__ <br /> Make: - — <br /> �G���� -- <br /> �fodeL• F�� �1'� � �2 Y <br /> Tons: _�_ <br /> H.Power �.7� --_. ------------- � - — <br /> FIREPLACES �� <br /> ❑ Gas Pactory Fireplace rand Nazne: <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Siove odel No.: <br /> ❑ Wood Stove with Flue/Masonry � <br /> VEIVTILATION <br /> ❑ No. Kitchen Exhaust d ct recirculating cfin <br /> ❑ No. Bath Eachaust(must have duct utside) cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (Afusi be approved by Fire Marshal!if pr osing to abandan tank in place.J <br /> ❑ Installation ❑ Retnoval <br /> Fuel Oil: �________ ,_gallons Ilnderground ❑lnside ❑Outside <br /> LP Gas: ___gallons <br /> Other: __I <br /> GAS LIN�ONLY <br /> ❑ O�tdoor Grill ❑ Other/List What \�'here: <br /> 2 _ <br />