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03-30-'16 13:56 FR4M- FIRESIDE T-801 P0002/4007 F-228 <br /> . . _ <br /> . _, . <br /> -__ - - �:rr�r� �- , <br /> Y ,�.. �N,� Fl ,� � �� � <br /> .`l��.u,e w lx c--'' �e4�l�h�'�L�"_�'. '+?�,'�� .c�� - `2�� `i�'it� � '�r� -��,c as <br /> Note:�All Geothermal Systems will now require a Site Plan&RevieW by our Building Offscial. <br /> IS TH1S CEOTHERIVYAY,? ❑'Yes ❑No <br /> ��ATYIYCY SXS'X'�iVTS , <br /> Quantity: � . <br /> Make: <br /> Model: <br /> FucL• <br /> Fiue Size: � <br /> Input BT'Us: <br /> Qutput STUs: <br /> CPM: <br /> � <br /> a <br /> COOLING SYSTEMS E <br /> t <br /> 4 <br /> QUa17t1�: � <br /> � <br /> Make: � <br /> Modol: <br /> Tons: <br /> H.Powtr <br /> ;�'1REpY.AC�S` <br /> � <br /> � :�as�'�CtOryl�ir$�placz;. . �Brand'Narrie:, ;� 1 . � <br /> .. ..., <br /> ;'VV;9od.��iriungFireplace� ,� . ( : ! II�-IP1 ' <br /> ❑ `,'Waod$;ksYe.�.. .. ... ;M¢�e1:N'o:;:; nr'GV1� '_`'i:��-��� <br /> ❑ -_Wood_$tqve vuith;Flue l,tvlasonry; Lo uJ��'LG�u�I~ Ci�'�yff�f�, <br /> VENTILATYON <br /> ❑ No. Kitchcn E�chaust duct _recirculaUng cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfrn <br /> ❑ No. � Other Fans: T.ocatians cfm i <br /> i <br /> '�C���,S'�ORAG� (�1ast be npproved 6y Ftre Marshnll ijproposP�g to nbnn�lon taek i»plac�) ' <br /> ❑ Installation � Removal i <br /> I <br /> Fuel Oil� gallons [� Underground ❑Inside ❑Outside � <br /> LP Gas: gallons • <br /> Other: � <br /> GAS LIN�ON�'� � <br /> Outdoor Grill Other/List What&Where: � <br /> ❑ � i <br /> 2 <br /> � <br />