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08-03—'16 1Q:39 FR4M— FIRESIQE T-389 PQ002/0004 F-926 <br />, , <br /> Note: All Geothermal Systems will now require a Site Plan Fc Re�vi�w_by our Building Official. . <br /> YS T�TrS G�OTC��l2MAL? ❑Yes ❑No <br /> HEATING SYSTEMS " <br /> Qusntity: � <br /> Make: <br /> Modal: <br /> PUeI: <br /> �lue Size: <br /> Input BTUs: <br /> Output BTUs: <br /> � <br /> CFM: <br /> COOC.[NC SYST�M3 <br /> ; <br /> Quanciry: � <br /> Make: � <br /> � <br /> Modal: ' <br /> Tons: <br /> T�.�ower <br /> FIREP�.AC�S <br /> � das�actory Nireplace Brand Na�ne: .^ <br /> 0 Wood Burning Firep[ace �SGa e���� . <br /> ❑ 'tNood Stove Model Na.: <br /> ❑ 'W'ood Stove w[W Flue/Masonry <br /> r <br /> VENTILATION � <br /> Q No. Kitchan Exhaust duct recirculating cfm ' <br /> ❑ No. Bath Exhaust(must have duct outside) cfm F <br /> [] No. Other�ans: Locations cfm ; <br /> FCJ��,STORA�� (Mus1lie appmved by�tire Mar�hail ifproposing b abandon tank in plac�) ' <br /> i <br /> { <br /> ❑ Installation ❑ Removat <br /> �uel Oil: gallons ❑ Underground ❑Inside ❑Outside <br /> LP Gas: gallons <br /> Other: � <br /> � <br /> GAS LINE ONLY <br /> E <br /> ❑ Ou[door Grill [] Other/List What&Where: <br /> 2 <br /> � <br /> I <br />