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F,rom:COUNTRYSIDE HEATING & COOLING 763 479 2518 08/13/2012 11 :44 #572 P.002/003 <br /> . � <br /> ' . : :I1�IECHANICAi.,SYSTEMS BEING.=Ti�iSTAI�LED : , .._ ;: ; . : <br /> Note: Atl Geothermal Systems will now require a Site Plan& Review by our Building Official. <br /> 1S THIS GEOTHERMAL? ❑ Yes �No <br /> HEATING SYSTEMS <br /> Quantity: � <br /> Make: <br /> Model: a!�� � - <br /> Fuel: ___�__C� <br /> Flue Size: p9,,�1 �V� <br /> Input BTUs: � U �� _ <br /> Output ST[Is: �� � _. <br /> CFM: � C O _._ _. <br /> COOLING SYSTEMS <br /> Quantity: y __. _ <br /> IV1ake: <br /> Model: �O��o B�Y'�• <br /> Tons: Ol ' � <br /> 1-�.Power oC..�M p <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove Model No.: <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTIL,ATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfrn <br /> ❑ No. Bath Exhaust(must have duct outsidc) ,cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fire Marshall if propnsing to abando�i tank rn plac�) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside <br /> LP Gas: gallons <br /> Othcr: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List Whai&Where:__ <br /> 2 <br />