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ipL-20- 009 11:08A FROM:MIDAMERICA X6517799786 TO:9522494616 P.3/4 <br /> N F.EliANICAL STEMS BEING INNTkLL)I a <br /> Note:All Geothermal Systema will now uire a Site P n&Review by our Building G,mcial. <br /> IS TRIS GEOTHERMAL? ❑Yes No <br /> I EATING SYSTEMS <br /> Quantity; <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons; <br /> H.Power <br /> EMPLACES <br /> O Gas Factory Fireplace Brand Name: <br /> ❑ Wood Burning Fireplace <br /> © Wood Stove .Model No.: <br /> ❑ Wood Stove With Flue <br /> VENTILATION <br /> ❑ No. Kitchen Exhausts' duct recirculating cfm <br /> ❑ No. Bath Exhaust(m have duct outside) _cfm <br /> 0 No. ether Fans: Lac tions _ , gfhl <br /> FUEL STORAGE (Must be approved by FYre a►sball j/propadng to abandon lank ln place) <br /> ® Installation ❑ Rom val <br /> Fuel Oil: 560 gallons ® Underground ®-Inside ®Outside <br /> LP Gas: gallons <br /> Other: <br /> ONIX- <br /> 13 IY <br /> Outdoor Grill 0 Others/List What&Where: <br /> 2 <br />