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From Heating and Cooling Two 1.763.428.3682 Mon Jan 29 10:01:10 2018 MST Page 3 of 4 <br /> MECHA IICA <' YSTEMS$EIb Cr NS L D: . f: .. ... ;j <br /> Note:All Geothermal Systems will now require a Site Plan &Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑Yes ❑No <br /> HEATING SYSTEMS <br /> Quantity: / <br /> Make: ,1 A,�Aerit/, .� /1/9:/Model: Ø1-/642 /7 cafe-- f-s`r1 <br /> Fuel: ,407L 4/4 <br /> X17 / <br /> 3; <br /> Flue Size: JJ <br /> Input BTUs: /�ram ` l O O 09e2 <br /> Output BTUs: ao4' Q % <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: /7,-7/9,—M <br /> Tons: 61 <br /> H.Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove Model No.: <br /> ❑ Wood Stove with Flue/Masonry <br /> ' VENTILATION <br /> ❑ No. / Kitchen Exhaust duct recirculating nee cfm <br /> ❑ No. if3 Bath Exhaust(must have duct outside) _ _cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ( Outdoor Grill El Other/List What&Where: t 441-9-1 <br /> !� f 6'po/ 2� ��2rrl.Zt✓ r <br /> 2 /—ffcc',/,g <br />