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° 08/11/2011 14:58 9529222434 SAVLER HVAC PAGE 63/04 <br /> . . ; . <br /> .: ... .. <br /> , �,�;I���YS'TEIvf�.B�TT�G rN'STALLED <br /> ;N1E . <br /> Note: All Geothermal Systems will now require a Site P(a,�&Review by our Building Of�cial_ <br /> IS TH15 GEOTH�RMAL? ❑ Yes ❑ No <br /> HEar��vc sxsTEMs <br /> Quantity: ' <br /> Make: �� �n e <br /> MOdel_ � � N <br /> Fucl; N��• <br /> y 1� <br /> Fluc Size_ <br /> Input BTUs: ��r � <br /> Output STUs: U� �V <br /> CFM: ��v <br /> COOL�NG SYSTEMS <br /> Quantity: <br /> Melce: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> Ges Factory Fireplace Brand T`ame= <br /> Wood Burning Fireplace <br /> Wood Stove Model 10.: <br /> Wood Stove With Flue <br /> V EN�('[LATION <br /> No, hitchen Exhaust duct recirculating cfm <br /> No_ Barh�xhausr(must have dvct ouuide) c�ix� <br /> No_ Othar Fans: Locations cfm <br /> FUEI..S'�'ORA,GE (Must be a�pproved by 1�'ire Ma�sha!!if proposing to abqndon fank in,place.) <br /> � Installation � Removal <br /> Fuel Oi�' gallons ❑ Underground ❑ Insidc ❑ Outsidc <br /> l.P Gas: gallons <br /> Other: <br /> GAS 1,IlY�OI�f1�Y <br /> � Outdoor Grill � Other!List What&V1%herc: <br /> 2 <br />