06-09-'15 16:15 FROM- T-890 P0005/0007 F-079
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<br /> iV'ote: All Geothermal Systems will now require a Site Plan&Review by our Bui(ding Official.
<br /> YS T�YS G�O'rHERMAL? []Yes ❑No
<br /> HEATING SYSTEMS
<br /> Quantity:
<br /> Make:
<br /> Model:
<br /> Fuel;
<br /> Flue Size:
<br /> lnput BTUs: �
<br /> Output BTUs: :
<br /> CFM:
<br /> COO�,MNC S'YST�MS '
<br /> Quantity: �
<br /> Makc:
<br /> Model:
<br /> Tons:
<br /> H.Power
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<br /> �FiR�P�,�YtiiA�GfES�
<br /> il. k'�^fl'5,1�� �31i) �•�A'Y F'„�,..�x�.., 41:.,.y,�3 R�,. a.
<br /> C�3' �'���c'td���F�A���? �:�a���:, ;;�,FI�.AT�N�:.,���:.5?�:�;�:�::+�;;�;�-�:�
<br /> ��•'�'_�n� � i'3yY�,�� „�,; � r
<br /> ❑ ����I�in,�g:,F�z`p�a��,�
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<br /> V�IVTYY.,ATYOIV �
<br /> (] No. Kitchen�xhaust duct recirculating efm !
<br /> �J No. � 1Bath�xhaust(must have duct autside) ofrn ;
<br /> ❑ No_ Othcr Fans: Locations cfm
<br /> FUEL STORAGE (Must be approved by FYre Mars/�a[l tjproposing to ab�ndore tank fn place.) ;
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<br /> ❑ ynstall�tion ❑ Removai '
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<br /> Fuel Oil: �gallons �] CJnderground �Inside ❑Outsido �
<br /> �,P Cras: gallons `
<br /> Otherc �
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<br /> CAS LINE ONLY �
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<br /> ❑ Outdoor Grill ❑ Other/List What&Where;_ '
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