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Ncv, i9. 2015 12: 13PM No, 5339 ?. 1/1 <br /> ,. i � '� i;.r �I1 f i i ..���., i� II.�' f i i <br /> . ' � i'�� �1ry �(��i� �i, y�—� i� 1 �ty.� �-yy ",11 � � r u .'��t� i � i . <br /> i��, I�C , ..q�s,� ' � � ,�� �,�� �' 1 � �! � a i ���1ihl� 11' ���v� � �'�j0'�s���u �� <br /> � �� a 4t'� _� � ��N?i�D� ,W��P,�.�, ���,J�,��?j s � ��.'� I I��li �� f i !i��'i� <br /> :�.��k�i. <br /> Note: All Geotliezmal Systems will now require a Site an&Review by our Building Ot'ficial. <br /> IS TTiIS GEOT�iER�v1AL? ❑ Xes �o <br /> HEATING S�'STEMS <br /> Quantity: � � <br /> Make: � <br /> Model� <br /> �uel: �'�Q� <br /> Flue Size: <br /> Tnput BTUs: �CJ��QQ � <br /> Output BTUs: <br /> CFM: <br /> C�OLING BYSTEMS <br /> Quantity; <br /> Make: <br /> Ivfodel_ <br /> Tons: <br /> H.Po„�er <br /> �TREPLACES <br /> ❑ Gas Factory Fireplace Brand Name� <br /> ❑ Wood Buming FirepIace <br /> ❑ 'Wood Stave Model No.: <br /> ❑ Wood Smvc with Flue/Masonry <br /> �'EY�,ATION <br /> ❑ No. Kitchen Exhaust duct recirculahing cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> � No. Other Fans: Locations cfm <br /> E�L STORAGE (Must be approved 8y Frre 1blarshRll if proposing to abaftdon tank in place.) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: galions ❑ Underground ❑Tnside ❑ Outside <br /> LP Gas: ga11o�5 <br /> O[her: <br /> CAS LIN� ONLY, <br /> ❑ Outdoor Grill ❑ Other/T.ist Wbat&Where: <br /> 2 <br />