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12-17-'14 17:00 FROM- T-302 P0042/0444 F-434 <br /> . ; <br /> )� �7�,�} T �,{�'�`�j� �r.. �j /'� � �(m YY �ArYr� �j <br /> r ,ts`�t`,��Fetx?�:P�71�F:.�'r Q�y��4�,�,.- d.�'�'k1a�S,�:l:��..1��., h�:7hd��l��1J,;d��.:t,r�� '�:„:?;8.s�d`Fi� �,Y� �i" !.. <br /> f <br /> Note: All Geothermal Syst�ms will now require a Site Plan&Re'Vie�v by our�uilding Official. � <br /> YS TT-iIS G�OTH�RMAI,,'? (] Y'es 0 No ` <br /> �EATIIV(C SYSTEMS <br /> Quantiry: � <br /> i <br /> Make: -� � <br /> Model: <br /> a <br /> Fuel: � <br /> � <br /> Plue Size: _.,„„_ _ –_-- <br /> Input�TLJs� ..__ _-.- <br /> putput BTCJs: �...� � � <br /> C�M: • — i <br /> � <br /> cooLir�v s�rsr�ms <br /> Quantiry: --- —� <br /> Make: _ -- - <br /> ModcL � <br /> 4 <br /> Tons: - f <br /> � <br /> H.Power _.� s�- �-- ' <br /> i <br /> �T�iEPLACES I <br /> �Oas�'actory Firepla e�� Brand Name: ���� <br /> � <br /> ❑ Wood Burning 1Fircp ��Q�nOVYY� <br /> ❑ Wood Stove Model No.: � ��" �-' �lv ' -J <br /> � Wood Stove wiCh Flue/Masonry ��as _ , <br /> VEN'I'TY,ATI01V �� ��.~ L� ' �11'�1���.-(�Ol'l'� ���C. U <br /> � No. Kitc}ien�:xhaust duct recirculating _cfm I� <br /> ❑ No. � Bath�xhaust(must have duct outside) �,,,,,_cfm <br /> ❑ No. OEher Fans: Locations=_ c��' <br /> i <br /> �'U�L STORAG�� (Mus�t be approve�l by flre Mnrshall if proposirrg ta nl�andon taak in pinee.) � <br /> ❑ ]nstallation ❑ Remova► � <br /> Fuel 0ii: ____�allons ❑ Underground ❑Inside ❑Outside i <br /> LP Gas: �gallons � <br /> Other: �,. - - � <br /> GAS Lyhi�ONLY � <br /> C7 Outdoor Grill ❑ Other!Llst What&Where; � <br /> 2 <br /> I <br />