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Date: 9/21/2005 Revision Date: 9/21/2005 Existing Construction: Pre 1994. <br /> • Site Information <br /> . Address 1: 2125 CHEVY CHASE RD Project #: <br /> 1 Address 2: Lot: Block: <br /> City: ORONO County: Subdivision: <br /> Application Information <br /> Business Name: Heating & Cooling Two Inc MN Contractor License #: <br /> Contact Person: AI Hebing <br /> Office Ph: 763.428.3677 Fax: 763.428.3682 Cell Ph: <br /> Address 1: 18550 County Road 81 <br /> City: Maple Grove State: MN Zip Code: 55369 <br /> Square Feet <br /> Square Feet: 3200 sq. ft. <br /> Combustion Appliance <br /> Water Heater: Direct Vent/Sealed Combustion Input BTUs: 0 Independently Vented <br /> Furnace/Boiler: Direct Vent/Sealed Combustion Input BTUs: 100,000 Independently Vented <br /> Other Combustion Appliances <br /> Gas Fired Direct Vent Fireplace(s): No Gas Fired Power Vent Fireplace(s): No <br /> Gas Fired Natural Draft Fireplace(s): Yes Solid Fuel Appliance(s): Two or more <br /> Exhaust Equipment <br /> Exhaust Fan Rating (cfm): 301 <br /> Make-Up Air <br /> Total Make-Up Air Required (cfm): 81 <br /> Passive Make-Up, Round Rigid: 8 inches or Insulated Flex: 9 inches <br /> Applicant Name (print): Signature/Date: <br /> Code Official (print): Signature/Date: <br /> �2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Pa�e 1 <br />