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01-22-'16 13:04 FRO�- T-594 P0002/0044 F-970 <br />. . <br /> :`,r:.r:.�.. ;^��. <e.ti�<'r'i��j7.�,' - 5'1 j: - — _'�:i�?.s'k,t(i.•�; ::ti:�i.. } <br /> : ::r ,:,: •'� <br /> �:k:, .>,:::-�::1.� ,�..�c� �<A�, :��. -:.����..r�:.==�x. _ <br /> � ... � . .., .... <br /> �..., < ..,. _�..._. � . �:~ _..,:�. :::.,.,.:: <br /> - . <br /> ..,, . . . : <br /> ^, <br /> .. _..,. . , <br /> ., .,; �. ... � - �, _ - -- <br /> , .. <br /> :. <br /> , .. , � , . <br /> . . .. <br /> ._.__�__„-.. .---. ._... . : . . . : , .:. . ._ :.... <br /> . ..,.:... . <br /> . <br /> ..::z.,:.,,..,:;�:,, , <br /> Note:All Geothermai Systems will now require a i e Pt &Review by our Building Official. ; <br /> t <br /> IS THIS GEOTHERMAL? ❑Yes ❑No � <br /> �T�sATTNCr SYST�MS <br /> �uantiry: <br /> Make: <br /> Model; � <br /> r <br /> Fuel: <br /> Fluc Si2c: <br /> Input BTUs: <br /> Output BTUs: <br /> CPM: <br /> COOLING SYSTEMS i <br /> i <br /> Qu�ntity: - <br /> Make: � <br /> Modcl; • <br /> 'fons:� <br /> Fi.Power <br /> �T�t��1;AC�S � <br /> CrasPactory��ireplace �BrandNarrie: '�'�. . . <br /> � Wood Burning•Firepiace �" . <br /> ❑ Wood Stove �Mpdal No.:: , G�l�'�GS�� : <br /> ❑ 'Wood Stove with.�iue/l�asanry <br /> �r�r�rr�.arrorr � <br /> [) No. Kitchen Exhaust duct recirculating �cfm � <br /> [] No. �ath Lxhaust(must have duct outside) cfin <br /> ❑ No. Other Fans: Locations cfm i <br /> i <br /> FUEL STORAGE (MY�sf be upp�'oved by 1"ire Mnrsl:nlC if propusing to nbR�edon tntrk!n place.) j <br /> ❑ Install&tion ❑ Removal j <br /> Fuel Oil: gallons ❑ Underground ❑Inside ❑Outs'rde � <br /> �.n Cras: gallons <br /> Othcr: <br /> GAS LINE O1VLY <br /> ❑ Outdoor Grill ❑ Other/List'IYJhRt&Whcrc: <br /> 2 <br /> l <br />