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From:•COUNTRYSIDE HEATING & COOLING 763 479 2518 02/28/2013 15:59 #693 P.003/003 <br /> � -;_ . �:MEC�TANIG -'S'YS�'EIviS B£II�TC%:;II�TSTAI.LEl7.': .:; ` <br /> Note:All Geothennal Systems will noyv require a Site Pian&Review by our Building Official. <br /> I <br /> IS TNIS GEOTHERMAL? ❑ Yes [�f No <br /> � � <br /> � HEATING SYSTEMS ; <br /> Quantity: _.___� __ <br /> Make: 's �/��/-�� <br /> Model: � � �l/`ul 5 f�6(vD -- <br /> Fuel: � �� �'�U�L— <br /> Flue Size: I �-`� <br /> Input BTUs: �f/. �/U U ----- <br /> + .� <br /> Output BTUs: 'i. 7�'> <br /> CFM: � ---------- `_ � .. . , . <br /> CO�LING SYSTEMS <br /> Quantity: � <br /> Make: '� �' �`�� �_ <br /> Model: 1V`t�/�b �K <br /> Tons: � �/� <br /> H.Power ' �-. <br /> FIREPLA ES <br /> Gas Factory Fireplace Brand Name: <br /> � Wood Burning Fireplace � ��� <br /> ❑ Wood Stove Model No.: <br /> ❑ Wood Stove with Plue/Masonry <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfrn <br /> ❑ No. Bath Exhaust(must have duct outside) cfin <br /> ❑ No. Other Fans: Locations cfm <br /> FU�L STORAGE (Must 6e approved by Fire Mai_chall ifproposing to abandon te�rk 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 ❑ Other/List What&Where: <br /> 2 <br /> � <br />