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02-07—'17 14:04 FROM— T-801 P0002/0004 F-972 <br /> 0 <br /> . .. �1v�l• <br /> �' �'af:":1�d'x,"wii�'4',S}�'Y . � � A'2" '1 • �sA�. <br /> ,. .s �; y��y, <br /> � .:... <br /> . Jry <br /> ?,.,':��T"�� �..y..:. c;�y.� . � � . ' ° L"L3 3{a,,;'�,cyp�; �v�+ "�` <br /> ` 3U' � �. ' . <br /> 9adL.,,�r..,c::�u.t.��k.n�...�ia•........... .. ..':..•, ..e.;,?: � '. . _ ._. � :`�� 4h• •�M'MiTw <br /> Note:All Geothermal Systems will no'w require a Site Plan&Review by our Building Official. <br /> IS THYS GEOT�Y�XtM,A,x,7 ❑Yes ❑No <br /> HEATYNG S'YSTEMS <br /> QUxntit�: <br /> Make: <br /> Model: <br /> Fuel: <br /> filue Si2e: <br /> Input�'r'CCJ's: <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Modei: <br /> Tons� <br /> H.Power <br /> �Ylt�p�,AC�S <br /> � Gas Factory fiireplace �rand N'ame: �1 1 l� <br /> ❑ Wood Burning�ireplace <br /> ❑ Wood StoVe Model No.: �SC� '�~ �d <br /> ❑ Wood Stove with Flue/MAsonry ��� ����C>-�_ ��-5' L/�. <br /> 'V�NTY�.ATYON .J�'"� $T�( � <br /> ❑ No. �itchen Exhaust duct reeirculating cfm <br /> ❑ No. Bath��chaust(must have duct outside) efm <br /> ❑ No_ Other Fans: Locations cfm <br /> �'UEL STORAGE (Miest be approved 1�y,�'ire Mnr'sho/1�'fproposing to abmr�lw:trrnk i►e plae�) <br /> ❑ Installation � Remo�val <br /> Fuel Oil: g�llons ❑ Underground ❑Tnside �Outside <br /> i,P Gas= gallons <br /> Other: <br /> GA.S LIN�ONLY <br /> ❑ O��tdoor Gri11 (� Other/I,ist Wh9t&Wl�ere: <br /> 2 <br />