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1I/19/2012 11: 50 7635354379 GOLDEN UALLEV HTG PAGE 02l03 <br /> . � <br /> ,Itil.��"f.T�4�l�C,P��; �'rSE'��'S�.�'.A��°lI'J�"T��;;�.`�.`��� <br /> Note; All Geothennal Syste�n5 will r�ow require a Site Plan &Review by our Building Official. <br /> 1S TH�S G�OT�#ERMAL? ❑ Yes �No <br /> HEATING SVST�MS <br /> Quantity: f ., . ..._� ... <br /> h1ake: !/1✓I )}C <br /> ! Model: 17��(�c,(.�I --- -.-..--- <br /> i <br /> Fuel: <br /> Flue Si�e: <br /> i ? C�� —-- <br /> � Input BTUs: ^� <br /> � Output BTUs: V Kf �U <br /> � <br /> CFM� <br /> , COOLINC SYSTEMS <br /> ' Quantiry: <br /> Make: <br /> Model: <br /> Tons; <br /> H.Power <br /> j --- , <br /> FIREPLACES <br /> I <br /> ' ❑ Gas Faccorv Firep(ace Brand Name: _ __ <br /> ❑ Wood Burning Fircplace <br /> [� Wood Stove Model No.: <br /> ' ❑ Wood Stove with Flue/Masonry � <br /> VENTlLAT10N <br /> I <br /> ❑ No. � Kitchcn Exhaust duct recirculating cf►lt � <br /> ❑ No. Bath�xhaust(must have duct outside) cfll� <br /> ❑ No. Other Fans: Locations � clin <br /> I FUEL STpRACE (Mus1 be approverf bti'Fire Mo�shq/!ijproposl�tg lo abR►tdon ta�tk in p/rrce.) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallans ❑ Upderground ❑ Insidc ❑putside <br /> LP Gas: � ___gallons <br /> I Othcr: <br /> � _._.. . <br /> I <br /> GA5 L(NE ONLY <br /> I� ❑ �utdoor Grill ❑ Other/List V1%hat&Where: <br /> �' 2 <br />