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10/06/2014 MON 1�: 08 Fax 763 a73 8565 Sabre Heeting & xir Cond �004/044 <br /> Note:All Geothermal 5ystems will now requi�ro a�ite Plan&Review by our Building Official. <br /> IS THIS GEqTI�RMAL? ❑Yes [�No <br /> �a�v�sYsrEMs <br /> Q�t��� � - --._ <br /> Make: t <br /> Modal: � <br /> Fuel: �I G „�____ <br /> Flue Size: N <br /> Input BTUs; <br /> output szv$: SZDo <br /> cFM: I too 0 <br /> COOLING SYSTEMS <br /> QuanhtY� —..,_,...,. -- <br /> Make: <br /> Modea: _. <br /> Tons; <br /> H.Power ._.. <br /> RIREPLACEg <br /> ❑ Gas Factory l�iroplace Brand 1�Tame: ____ _ <br /> . � Wood Buming Fireplaca <br /> ❑ Vl�ood Stove Model No.: <br /> ❑ Wood Stove with Plue/Masonry <br /> VEN'I'II.ATION <br /> ❑ No. Kitchen Bxhaust duct recirculating cGn <br /> ❑ No. Bath Exhaust(muet ha.ve duct outside) �'m <br /> ❑ No, Other Fans: Locations � <br /> �J[E�,L 9T�BA��(11�us�be qpproved by FYre MarskaU if prupaving to abandon rank in pJaca) <br /> ❑ Installation ❑ itemaval <br /> Fuel UiJ: �gallons ❑ Underground ❑Inside 0 Oucaide <br /> LP Gas: g�llons <br /> Other: <br /> GAS LiNE ONY.Y <br /> ❑ Outdoor Grill CI Other/List What 8t Wk�e�e: __ <br /> 2 <br />