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Nov, 30. 2016 2: 08PM No, 4600 P. 4 <br /> , ... . , , }���y'��,}�� +�-���yy������y��� .. . <br /> - �:�;�..�:�:�,....;M:; ..;;;� . .,. ..,� •'�,:.:, <br /> i?+�'�ff�.''j�a•: '..4,��...�'�^:3+� �,'�.1�^l, �is'.�:1�1:tV��•11^F�7:l,Ld31::d�L•:'1�`r::�::, <br /> Note:All Geothermal Systtms will now require a Sitc�lan Bt RevieW by our Building O�icial. <br /> Y,S�'�IS CEOTX�RMAY,? []Yes '�No <br /> �ATING S'Y'ST�MS �75�Jp��u'� <br /> Quantiry: <br /> M��: 1�"T l <br /> Model: TR.1 I�l I 5� <br /> Fuel: �9� <br /> Flue Size: °�` <br /> Input�TUs: �1�,�,S� <br /> Out�ut BTus: ��H' I`!I — . <br /> c�: <br /> COQLIN'Cr S'SISTEMS <br /> Quan�it�: <br /> Make: <br /> Model: <br /> Tons: • <br /> H.Power <br /> FIR�p�,ACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> �❑ V�/ood�uming�'ireplace <br /> Wood Stove Modcl No.: <br /> ❑ 'Woad Stove with Plue/Masomy <br /> 'VENTILATYON <br /> ❑ No. Kitchen Bxhaust duct recirculating efm <br /> ❑ No. Bach F�xhaust(must havc duct outside) � <br /> ❑ No. Other Fans: Locations �� <br /> FUEL STORAGE (14�ust be approved 1iy 14"ire A�arshnll'rf propoar.ng to pbpndoa tank�n plac�) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑Inside ❑Outsidt <br /> r,p G,�: gallons <br /> Other: <br /> GAS�.�ONLY <br /> ❑ Outdoor Grill [] Other/List What&Where: <br /> 2 <br />