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06/11/2015 THU 12: 38 FAx 763 473 8565 Sdbre xedting & Air Cond �006/007 <br /> Note:All Qeot�iei7nal Systems will now require a Site Plsn&Re�view.by our Builduig Official. <br /> � xS�"��S GEOTI�L+'�MAL? ❑ Yes �o <br /> I HEATING SYS'�EMS <br /> Quantity: <br /> M�ke: <br /> ModeL• <br /> Fuel� <br /> Flue Size: <br /> Input B'I'[Is� , <br /> Output BTUs: ,�,T <br /> CTM: <br /> COOLING 3YSTEMS <br /> I <br /> Quantity: . <br /> Malce' <br /> M,odcl: <br /> Tons: <br /> H.Pbw�er <br /> FT���� <br /> ❑ Gas Factory�'ireplace nrand Name: <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Scove Model No.: _�, <br /> � Wood Stovo with Flue!MAsonry <br /> '��1V TIT,A'�IUl�I <br /> ❑ No, � Kitchen�xha�ist ✓ duct recirculating ?`��'� cfm <br /> [( No. �'� aatli�xhdust(must have duct outside) b'� cfm �` <br /> � No. Other FAns: I..octttions cfm <br /> rU",1 P�L ST-Q,�(Must be approved by FYr�M'urxhaJl�J'proposing�o aba��daa iank�a plac�) <br /> ❑ Installation [� Remwal <br /> Fue�Oil: gallons ❑ Underground ❑Insida ❑Outside <br /> LP Cr�; gallons <br /> Othe�� <br /> GA,S I.-INE ONLY <br /> t <br /> ❑ Outdoor Crrill [� OUier/Lxst What&Whera: I�U'�� �'' � �� �''�' <br /> I 2 <br /> i <br /> � <br />