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66/06/2612 10:44 7634773338 HIGH ROAD HEAT COOL PAGE 03105 <br /> i' j <br /> �; <br /> I' <br /> . ; „ <br /> � � : ,:, , - , ;�. �c c� s���i�sBE�c�nv���L���:: ; --.: :::-:� :�:.:��:� ;:<:,<::: <br /> ; � � i <br /> ' I Note:All Geotherahal Systeins will now require a Site Plan Rc.R .eview 1ry�ur Ruilding Official. <br /> i ����l I I <br /> � j IS THIS GEOT�IERM.AL7 ❑Yes ❑N No ! <br /> ; i I <br /> ; ; HEATING SYSTEMS j <br /> i ' <br /> � <br /> I Quantity: __ _- ! <br /> I � <br /> � � Make: � <br /> ' M.odel: I <br /> i i � <br /> ' � I ruel: <br /> I I � <br /> Flue Size: , <br /> � � Input BNs: ' <br /> , � <br /> � <br /> , <br /> ! (hrtput BT[3s: _ _ 1_ _ <br /> I I <br /> ' I <br /> CFM: ' <br /> ' COOLING 5Y5TE S � <br /> I � <br /> ; Quan[iry_ <br /> . M��: jYORI� <br /> � <br /> ' Model: ��D18�541S1 <br /> Tons: '5 <br /> • ' H.Power ��_ � <br /> F1RE�LA,CES ' <br /> ❑ C Factory ireplace BrandName: <br /> � ; a Wt�od Bami�g Fircpiacc ; <br /> Wdod Srovc Model No.: <br /> ❑ Wdod Strnc ith Fluc/Masonry <br /> I <br /> i � vrNTaz.ATro�v <br /> i I ❑ No Kitchen Exhaust duM recirrulating cfm <br /> i ❑ No� _� Bath Cxhaust(must have duct outside) dm <br /> ; i ❑ Nol ____� Olhcr Fans: Locations �frn <br /> ; ' FUEL STORAGE as[he�rpproved by FFre MarshaU ifPropacing ta a6andon�Qnk irr place) � <br /> ❑ lns lation ❑ Rcmaval <br /> Fu�l Oil: gallons ❑ Underground []Insidc ❑Oubic�e <br /> � LA Ga,t: _�gallans � <br /> er: � <br /> 4A5 411V�UNLY � <br /> � Ou door Gril � Other/List What&Where:r____�, <br /> 2 <br />