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03-11—'16 12:00 FROM— FIRESIDE T-733 P0005/0007 F-141 <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 'J ��j ,,, <br /> Quantity: '1 17(1x4 6! /U` <br /> Make: b- "' 14-16 <br /> Model: a c;• \, <br /> Fuel: Grt5 G q_,13 <br /> Flue Size: /' rr,,,�� / <br /> Input BTUs: `' 5/ UU 0 `79O <br /> Cd <br /> Output BTUs: <br /> CFM: • <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H,Power <br /> FIREPLACES <br /> Gas Factory:l ireplace Brand Name: Pia: <br /> Wood Burning fireplace, r ) 4 r <br /> ❑ WoWW,Stove:: Model No::: I . Iri <br /> ❑ •Wood,Stove:with Flue/Masonry <br /> VENTILATION <br /> ❑ No. Kitchen exhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Pre Marshall if proposing to abandon tank in place.) <br /> ❑ Installation 0 Removal <br /> Fuel Oil: gallons 0 Underground 0 Inside 0 Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> • Outdoor Grill 0 Other/List What&Where: <br /> 2 <br />