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11-11-'14 14:34 FROM- T-170 P0002/0044 F-289 <br /> � � <br /> N'ote:All Qeothermal Systems witl now reqaire a Site Plan&Review by our Building Official, � <br /> F <br /> YS THYS G�OT�YERMAL? ❑Yes ❑No � <br /> HEATING SYSTEMS <br /> Quantity: : <br /> Make: <br /> Modcl: <br /> fiuel: , <br /> Fluc Sizc: <br /> Cnput B7"Us: <br /> � <br /> Output BTUs: __,�__ r <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity� <br /> Make: <br /> Model: E <br /> Tans; � <br /> H.power ( <br /> i <br /> �Y�PC.,AC�S t'�� , <br /> Lrfi f, <br /> � Gas�actory Fireplace �Y��S Brand N'ame: �I�1������0 ►I T ; <br /> ❑ Wood Burning Fircplacc <br /> ❑ Wood Swve /v Mo���No.:s� �r sa rr�:�Pl� C.x'�) <br /> ❑ Wood Stove with filue/Masonry ���;o rv,�-�c,o CK 1 � <br /> 'V�NTyC,A'CCON `"��1�'dUG� t�-S`FJ <br /> ', <br /> ❑ No. Kitchen Exhaust _ duct reeirculating �cfm 1 <br /> ❑ No. Bath Exhaust(must have duct outside) �cfm 0 <br /> ❑ No. Other Fans: I.,ocations cfm { <br /> { <br /> ��1�Y.S'CORAG� (Musf be approve[I by Fire Mnrsha/!If proposiag t�i ab�indon tpnk in pluee.) � <br /> (] ynstallation p Ttemoval � <br /> Fuel Oil: �gallons � C�nderground �[nside []Outside <br /> �,P Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ OYher/List WhaC&Where: <br /> 2 <br /> 1 <br /> , <br />