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11/17/2015 16:49 7635354379 GOLDEN VALLEY HTG PAGE 02/04 <br /> _ � ; <br /> MEC�4NrGAT.,S�''�TEIt��B�ING�iST�i.L,L�D <br /> Noke:All Geothennal Systerns wil�now requxxe a Site a &Review by our Bualding Officaa�_ <br /> IS TH�S GEOTHE�tMAL? [] Yes ��Io <br /> HEATI�V'G SXSTEMS <br /> Quantity: I <br /> Make: L��x <br /> Model: Vt� _ — <br /> FueI: (X.4.� <br /> Fiue Size: <br /> Input�'�'ITs: I/C� ) <br /> o�,r��c B7vs_ � f 0 <br /> CFM: <br /> COO�ING SYSTEMS <br /> Qua�tAty: <br /> IVYa,ke: <br /> Model: <br /> T'ons: <br /> H_PoWer <br /> FIREPLACES <br /> ❑ Gas Factory Fizeplace Brand Name: <br /> [] Wood Burning Fireplace <br /> ❑ Wood Stove Mode�No,: <br /> ❑ Wood Stovc with Flue/Masonry <br /> VFN"T'1LATION <br /> ❑ No_ _, Kitcher��xhausf duct recirculating cfm <br /> � No. �ath Exhaust(must hflve duct outszde) cfm <br /> Nq. Other�ans: LOCations cfrrl <br /> ���,ST�RAGE (Must be approved by Frre Marshal(if,�ro,posi�rg tv abando►i tank in place.) <br /> ❑ Insta�lat�oz� ❑ Removal <br /> Fuel Oil: gallor�s ❑ U�ndergcound �lnszde ❑Outside <br /> �,P Gas: galions <br /> Otb�er: <br /> GAS L1N�ONLY <br /> ❑ Outdoor Grill [] Othcr/�.ist What&Whcrc: <br /> 2 <br />