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12-08-'15 14:41 FR4M- T-473 P0405/OOQ7 F-827 <br /> n 7''. ' e 7� �. �i- p� � 7;�� �.e3: <br /> �����:n� '� ` ' `'�'.T:_ _�5�7"�_' :_..• �:x�M.:>.��T� �!%+ _.�,` F''s •-td:= ''� .�Y�x�!���i�;'„�,:��°h�.��;` ,•;� : <br /> n.r, <br /> Note:All GeothermalS�sCems will now r�quire a Site Plan&Review by our Building Of�cial. <br /> IS THIS GEOTHERMA,�,? Q Yes 0 No : <br /> H$ATXiV�S�1'S'N'�iV15 r <br /> R <br /> a <br /> � <br /> Quantiry: ` <br /> � <br /> Make: � <br /> Modcl: ' <br /> Fuel: <br /> Flu�Si2e: <br /> �nput�TUs: <br /> Output BTUs� _____ <br /> CFM: _,__� s <br /> COOY.TNG SYSTIEMS � <br /> ; <br /> � <br /> � <br /> Quantity: � <br /> , <br /> Make: <br /> Model: <br /> Tpns� <br /> H.Power <br /> ���Pi.acEs <br /> .. . .. . . . � <br /> ,.. . . . , <br /> -. . �. , : <br /> . ,� ' � , <br /> ❑ Ga's:F�c�ory Fireplac�� Branil Nan1e: � ... :. . �'' � : <br /> ❑ Wood�urriir�g.l'i�eplace� �g� /'� -��'' ; <br /> ❑ Wood Stove Mode�No::' ���VlI.�V`.J-3�1.:� <br /> [,� `'Wood Stove with Rlue l Masonry. <br /> V�NTILATYON <br /> � No. Kitchtn E�chaust duct rcoirculating �,cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> ❑ No. Other Faris: Locations_ _� cfm <br /> i <br /> �i1�L STORAGE (Mus[be(�pp�'oved by FJre M�trsknll if p►'oposing to qbanrlon tnnk in pl�ce.) � <br /> ❑ Installation � �temovai i <br /> Fuel Oil: gallons ❑ Undcrground ❑Inside ❑Outside � <br /> L,P Gas: gallons j <br /> Othcr: � <br /> I <br /> GAS LINE ONLY � <br /> I <br /> ❑ Outdoor Grill [� Qthcr/List WhaC&Where: � <br /> � <br /> � <br /> 2 ! <br /> � <br /> I <br /> I <br />