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4 0�-29-'14 16:48 FROM- T-985 P0005/0007 F-090 <br /> ° < �i ,y q� l r'��(��j� 7�� �v ���y � �. ��--t�yr^—.�.--y-'�^-T�,� t ),,,'T�lC ���N <br /> ��':;l ,��,n� r"r 1 ZJ � �.;i,arFa-«'i.'�A�l�\i���S7:IC����,��� ���'.�� �a����}�-/:�7�1.-! r M�,.�'�+e�.Y.:��.�;��>,t����:� . <br /> Note:All Geothermal Systems will now require a Site Plan&RevieW by our Building Official. ; <br /> � <br /> Y$TXTTS G�OTHERMAI�" ❑ �es ❑No � <br /> Y��ATYNG SYSTEMS <br /> i <br /> Quantiry: <br /> � <br /> Makc� r __... <br /> Modei: — <br /> Fuel: �_�_..� .. ��.— � <br /> Fluc Si2e: w� �,_ <br /> Ynput�T�1s: __ _�_�.. �.._--- <br /> OuCput STUs: _,__ ,,,,._�—. <br /> i <br /> � <br /> CF'M: -�--, --�-- <br /> COOLING SYSTEMS <br /> Quantity: � �,� <br /> Make: �,,,� �,.._�r <br /> Model: � <br /> �____� , <br /> � <br /> TUns: ,_�_ ° <br /> i <br /> � <br /> T�1.Power �,,,� _._w,„_ _ <br /> �IIi�T'LACES I <br /> (� Gas Facfory Fireplace Brand Name: "� �'�a7 �� "' �?�� �� <br /> �� Wood Burning Fireplace In�, L � � •-r �� <br /> ❑ Wood Stove Mode1 No.; Y ' �UV\`I�1'1��� �� <br /> ❑ Wood Stove with Flue/Masonry ; <br /> VENTIT�A"�'X01`I ' <br /> I <br /> ❑ No. Kitchen Exhaust duct rcoirculating �__Cfm { <br /> ❑ No. � Bath Exhaust(must have duct outsidc) cfin � <br /> � Np, Okher Fans: Locations _� cfm � <br /> FUEL STORAG� (hlust be npproverl by 1�`ir'e Marsliall�f propus7n�to aba►tdon tank tn place.) <br /> ❑ Installation ❑ Rcmoval <br /> Fuel Oil: gallons [� �1r�derground ❑Cnside ❑Outside i <br /> LP Gas: � gallons � <br /> Oil7er: ' <br /> �... ; <br /> CJAS�,,M1V�OiVY,Y <br /> Q Outdoor Grill ❑ Otl�er/List What&Wherc;_ <br /> 2 <br /> � <br /> ; <br />