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From:COUNTRYSIDE HEATING & COOLING 763 479 2518 09l26l2013 10:21 #816 P.002/003 <br /> : �.. :`� ... . .,- r������:��.����lS����C",�_,�1+T��`�'�:E���,:����-:�� ? <br /> Note: All Geothennal Systans will now require a Site Plan&Revietiv by our Building Official. <br /> IS THIS GEOTHERII'IAL? ❑Yes ❑No <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> Input BTUs; <br /> Output BTUs: <br /> CFNI: <br /> COOLING SYSTEMS <br /> Qu�tity: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACE S <br /> ❑ Gas Factory Fireplace BrandName: �X�(-G(c�cU-�—i r-� <br /> � Wood Burning FQeplace �� oO ��� <br /> Wood Stove Model No.: . '1!�1 I CC.(� <br /> Wood Stove with Flue/Masonry <br /> VENTILATTON <br /> ❑ No. Kitchen Exhaust duct recu-culafing cfm <br /> ❑ No. ,__ $aih Exh�st(must have duct outside) cfm <br /> ❑ No. _ Other Fans: Locations cfm <br /> FUEL ST ORAGE {Msrst bc approved by Fbc Ma�skal/ifpropostng to abandon�rnk in pincG) <br /> ❑ Tnstallation ❑ Removal <br /> Fuel Oil: gellons ❑ Underground ❑Inside ❑Outside <br /> LP Gas; gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />