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05/31/z016 TUE i5: ia Fax 61z 8zz 5a08 ai' s Maater Plumbimg �003/OOa <br /> . ► <br /> I <br /> + ""'+4'R"I�A' ' L ri� i � iw�;l{�'r}�'�'PP,�'�!'�'q"rl+n��Y�pl��y+;(�,,j• <br /> � ,� ��{'�N�' EC�i1�JI��'Ali';�SYST�EMSi;BE'I�G���IST;4L��''ED�1��;,�„',,,����1���',:k��l�a�l���;�,-���,: ������� <br /> j Notc:All Creothermal Systems will now require a Sit�e Plan&Review by our Building Official. <br /> � YS'I'HIS G .O�'H�RiVZAL? ❑Yes ❑■ No <br /> iH�;ATING SYS MS <br /> Quantity: <br /> MaRe: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> lnput 13TUs: <br /> Output BT'Us: <br /> ' C1�M: <br /> COOLLI'G SYSTEMS <br /> , Quantity; � <br /> ' Makc: �qh� <br /> �oa�i: /�t`�x 1 <br /> Tons: 'i <br /> H.Power r.�._... _....__.._,....._ �...._... . <br /> FIRFPT.ACTS <br /> ❑ Gas Factory l�ireplace 13rand Name: <br /> ❑ Woocl 13urning Fircplacc <br /> ❑ Wood Stove No.: <br /> [] Woo Slove with Fluc/Masonry <br /> V�;NTILATION <br /> ❑ No. Kitchen Exhaust duct rccirculating cfm <br /> ❑ No, Bath Exhaust(must have du side) cfm <br /> ❑ I��o. Othcr Fails: Locations cfin <br /> FiTF,i.STnRAf;R (Must roved by�ire Marsl�a!!ijproposin,�to abandon ta►tk i�t place.) <br /> ❑ installation ❑ val <br /> Fue]Oil: gallons Underground ❑inside ❑Outside <br /> i,P Cras: __... gallons <br /> O�her: <br /> G,AS.I,1Nk:ONLX <br /> ❑ Outdoor Grill ❑ /T.ist Wfiat&Where: <br /> 7 <br />