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09/30/2015 12:45 Riccar Heating ¢A�)763 754 0132 P.003l004 <br /> � <br /> ) <br /> '��:"; . .,5":NI�CI-�IC.AL:SYSTEMS',8�1NCr'r�INS��ILL�'� , ,t �;�;�� .:,,,,�,,,�> <br /> Note:All Geothermal Systems will now require a Site Plan& view by aur Building Official. K <br /> IS THIS GEOTHERMAL? ❑Yes I�if No <br /> HEATI�YG SYSTEMS � <br /> Quantity: � / � <br /> Nlake: �G.r� 1`3� <br /> Mociel: �'7��rT Q�� (Ll__R��/"► �6 J " ���� l f' ` <br /> � <br /> FneL Q. LU'f � <br /> F�H n p1 <br /> Flue Size: �--.o' r=� <br /> Input BTUs: /� � O�J, �6 <br /> au�ut��rtrs: � 7 �d a ��i(�Q D <br /> CFM: <br /> COpL[l�G SYSTEMS <br /> Quantity: / / <br /> Make: �,��/�(� <br /> ModeI; ��✓��/v��p /���''1 <br /> 7ons: ��c� i o /c. <br /> �T.Power <br /> EY�PLACES <br /> ❑ Qas Facsory Firoplace Brand Name: <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove Model No.: <br /> ❑ Wood Stove with Flue/Masonry <br /> VEN"CCLATI N �/ • <br /> No. � r)r 7�Cf�j1 �Px�-� �aGc.�c�e �rz f/ <br /> Kitchen Exhaust duct recirculating cfm <br /> ❑ No. � Bath Exhaust(musf have uct oucsids) cfin <br /> ❑ No, Other Fans: Locations cfm <br /> STORAGE (Musa be approved by Fire Marslrall tf proposl►ag to abandarc tank in place.) <br /> [] Insiallation ❑ Removal <br /> Fuel Oil: gations ❑ Underground ❑Inside ❑Outside <br /> LP Qas: gallons <br /> Other: <br /> GAS C.TNE ONLY <br /> � Outdoor Orill � bther/List What�Where: a{'nC�,L�1 l�l_� <br /> � <br /> 2 <br />