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10-18-'16 09:52 FROM- 555-555-5555 T-590 P4002/0004 F-536 <br /> , ,� <br /> � . Note:A,11 Geotherma�Systems w�nor�v requ�xe a Site'Plan&Review by our Buildi�g O�cial. <br /> IST�SGEUTIi��AL? ❑'Yes �No . � . <br /> HEATTNG S'YSTEMS . <br /> Quanfaty- . — -- — . <br /> kvlalce: 1.�4 f�y�^' . <br /> Mode�: 5��� <br /> �'u.el: - <br /> ft . . <br /> k'�ue Sxze: -- <br /> Input S'I`IJs: ��� O�fii T _ - <br /> Qutput BTUs: . � b�� <br /> CFM: �Q� <br /> COOLING SXS'I'EMS <br /> ���� � . <br /> �: _��rL <br /> Model: �����► <br /> Tons: � <br /> H.Power � <br /> �'�tE�LACES <br /> � ❑ Gas Factory Fireplace, � � ' Br�d Natne: , <br /> ❑ Wood Burning FirepLace <br /> , � . Wood 5tove . , iviodel Nv.: ' � --- <br /> ❑ Wood Stove with k'lue/Maso�xy . <br /> VENTILATION <br /> tr <br /> ; � No.. � _ �xtcb.enExha}xst . ��,c�uct..."" '� xecirculating �6t� cfm <br /> No. �_ Bath Ex�iaust(rn�ust k�ave duct outside) ,,,���� <br /> No. Other Fa�as_ �ocations _ � <br /> F[.TEL STORAGE {.�afust be ugproveuf by Ffre MarshaU if proposurg to abandoa tajzk in place.) <br /> ❑ InstaUa.tion ❑ Reznoval . <br /> Fuel Oza: gallo�,s ❑ Umder�'ound ❑Inside �autside <br /> LP Gas: gallons <br /> Ot�ier: . . , <br /> � G S LINE ONLY � <br /> , •❑ Qutdoor Crrill ❑ C?ther/List What&�'here: <br /> � z <br />