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03-16-'17 09:28 FROM- T-929 P0402/0004 F-126 <br /> . ,. :�.,.. <br /> +•:•e s;�+,�; 'ras�7�.,t�.j:� * � �,�;�c�r �• Nr ,;�;,�:• . <br /> �:�:`.:.,`.'J .t � j� ��{(�s'Q�+7��(� �(.A�Y�y� i��;��'��. .;?;,:t�l:�i:`y�"''..+�p�i <br /> '.�ie",�ii:::�..�.�'_�:YI'�.:�1^F�rj�.�i,iF�,, �G��y�7;i' b�'��J,iiJJ-Ai.1„!S'.R���.�'1'•t1L;15�a,Y,h•t.•f:.s'I:'a:;�?I�".�;:��i:•;;�}kp. <br /> Note:A(1 Geothei•maI Systems will now roquire a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMA�? ❑'Y'es ❑No <br /> �IEATYNG SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Si2e: <br /> Input BTUs: <br /> Output�TUs: <br /> CFM: <br /> C04X,KNG SYSTEMS <br /> Quantity_ <br /> Make: <br /> Moa�r: <br /> ro�s: <br /> H.Power <br /> FIREPLACES <br /> Gas Factory Pireplace � Brand Name: �� <br /> � Wood Burning Fireplxce p <br /> ❑ Wood Stove Modet No_��n�00 C�� � �����►a y� <br /> [] 'W'ood Stove�r+ith Fluc 1 Masanry �� <br /> VENTILATION <br /> ❑ No. TCitchen Exhaust duct reeerculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> 0 No. Othcr Pans: Locations �cfm <br /> FUEL S'Y'ORA�� (Mr�st be approved by Fire Marsl4al!if proposirrg to nbandoir tatik in plaee.) <br /> ❑ Installation ❑ ,l�mova! <br /> Fuel Oil: gallons ❑ Undcrground ❑Jnside ❑Outside <br /> LP Cras: gallons <br /> Other: <br /> GAS LINE ONLY <br /> � Outdoor�rill ❑ Other/�.ist'l�'liai&Wherc: <br /> � <br />