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46-21-'16 08:52 FROM- FIRESIDE T-168 P0402/0044 F-667 <br /> ..., , .. , ... .....--- - - . . <br /> ,. _._.. <br /> ���'. • d. �1�^. : � R., :E. _ '_��.. Aj r� � ,4,�. <br /> �r n.�`E� �� ..,e •.'.3 .r'n- . i..=�•;. ` � ��'?o e - <br /> .•:, ; <br /> . <br /> . ,, . c� <br /> - n: <br /> _ .. • <br /> �r..;.,..:;�.:.c?.._ a:�:�:..tw........ . . , : . . � . � '• •. ' s� ��...!',E1b_ _;}n.. 'i+'�?S.SS?�'.�r:,y`9 <br /> Note:Ail C'xeothermal Systems will now require a Site P(an&Review by our Building Official. : <br /> TS T�YS G�OTT��Y2MA�,? ❑Yes �No <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Modek: � <br /> Fucl: <br /> �lue Size: <br /> inpuC BTU3: <br /> Qutput BTUs: - <br /> CrM: <br /> COO�,YNG S'YST�MS ' <br /> � <br /> Quantiry: � <br /> ! <br /> Make: <br /> Model: <br /> Tons: � <br /> H.Power : <br /> �YYt�pY.A(:�S <br /> ❑ �ras.�a�tory fiireplace . �r.and Name: �. � <br /> ❑� .Wood.�ur�iing Pireplace /�/� �/� <br /> �WoodStove'. Model�No.:; �'�,�'J f���(.���� <br /> ❑ Wood Sto�ve,with'Flue�/,Ivlasonry, <br /> VENTILAI'YO1V' <br /> ❑ No. Kitchzn Exhaust duct recirculating cfm <br /> ❑ No. Bath�xhaust(must have duct outs�de) efm ' <br /> Q No. � Other Fans: C,ocations cfm � <br /> � <br /> �Y)�I.STOY2AG� {Must be npprovetl6y Fdre Mnrslral/ff propos�'ng to aba»don tank ib pinc�) � <br /> I <br /> ❑ Installation �] �emoval <br /> Puel Oil: gallons [f Undergrnund ❑Inside ❑Outsidt <br /> LP Gas: gallons <br /> Othzr: � <br /> I <br /> GAS LIN�ON�,� � <br /> ❑ Outdoor Crrill ❑ Other/I.ist What�Whcrc� <br /> 2 <br /> i <br /> � <br /> � <br /> 1 <br />