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From:Meghan Sharpe FaxID:763-295-3010 Page 3 of 4 Date:3/26/2018 09:41 AM Page:3 of 4 <br /> • <br /> M ANY"CikL:S' STEMS'B O SSALI: i? <br /> Note; Ail Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑Yes E No <br /> HEATING SYSTEMS • <br /> Quantity: 1 <br /> Make: ci I314 <br /> Model: � � 7vd 3B Fuel: /+i Gt <br /> " <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs: 7(O, FLj 6 _ <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: I _ <br /> Make: 0v,.�rv� cry sitar r' <br /> Model: t)/'� X5-til) <br /> Tons: <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 6 A ductrecirculating clip <br /> ❑ No. 4„ Bath Exhaust(must have duct outside) p cfcn <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 0 Underground ❑Inside 0 Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> jg. Outdoor Grill 0 Other i List What&Where: 5/-,c4.,', tryr( <br /> 2 <br /> Z'd 09L99L9E9L 9ufleeH VIVO egZ:80 gt 9Z JuW <br />