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From:COUNTRYSIDE HEATING & COOLING 763 479 2518 05l14l2014 11 :37 #958 P.0031005 <br /> 1Vote: All Geothennal Systems will now require a Site]'lan &Review by our Building Official. <br /> IS THIS GE�THERMAL? ❑ Yes ❑No <br /> HEATING SYSTEMS <br /> Quantity: � ________ <br /> Make: ►'4�'��� ' <br /> qU <br /> Model: d.� <br /> Fuel: 1 � - � <br /> Flue Size: �� I ✓` _- <br /> Input BT`ils: _ � �'� <br /> Output BTUs: � ��L�__ _ __ <br /> CFM: � C�C� C_��", <br /> COOLING SYSTEMS <br /> Quantity: l <br /> —,---,--.�_..__. T__ <br /> Make: ��� . <br /> ModeL• �oC� `�IY� <br /> Tons: 3 <br /> H.Power � z L' � <br /> FIREPLACES <br /> ❑ Gas Factory Fueplace Brand Name: <br /> ❑ Wood Buming Fireplace <br /> ❑ Wood Stove Model No.: ____ _ <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> ❑ No. Kitchen E�aust duct recirculating cfin <br /> ❑ No. �_ _ Bath F.,xhaust(must have duct outside) ____cfin <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (Musi be approved by Fire Marshal!ifproposing to abandon tank in place.) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ ptl�er/List What&Where: <br /> 2 <br />