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Oa/06/2016 wED i8: 57 FAx 61z 822 5a08 �' e rtaeter pluml�img �j009/OOa <br /> I <br /> � ' <br /> I I <br /> � <br /> � Note:A11 Geothermal Systems will now require a Site Plan&Revicw by our Building O�cia1. <br /> ' �S�'HTS GEQTHERMAL? ❑Yes �❑No <br /> � �-�--��.-� <br /> � I�EA'�NG SXST � <br /> Qusnlity, 1 <br /> Malce: Bry�rit H RV <br /> WRVXXLVU1330 <br /> ; Model: <br /> i Fuel: <br /> '� Flue Size: <br /> � Input BTUs: <br /> � Output BTUs: <br /> � <br /> CFM: <br /> • COOLiNG SYSTEMS <br /> � Quantiry: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> �IRF.PLAC'ES <br /> ❑ Gas Factory Firep�ace Brand Name: <br /> ❑ Wood Buming Fireplace � <br /> ❑ Wood Stove Model No.: <br /> ❑ Wood Stove with Flue/Iv�asonry <br /> V�NTILA'1'ION <br /> ❑ No. Kitehen Bxhaust duct recirculating cfm <br /> ❑ No. Buh Exhaust(must have duct outside) cfm <br /> ❑ No. Other Fans: �.ocations cfn, <br /> FUEL SfORAC� (Must be apprpved hy Fire Marshall if proposing W pbandon tank[n place.) <br /> ❑ lnstalladon ❑ Removal <br /> Fuel 0ii: gallons ❑ Underground ❑�.nside [I Ou�side <br /> LP Gas: ga�loaas <br /> � Other: <br /> GAS LINE ONLY <br /> � Outdoor Grill ❑ Othcr/List What&Wh�re: _ <br /> 2 <br />