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From:COUNTRYSIDE HEATING & COOLING 763 479 2518 02l24l2015 12:30 #021 P.002/003 <br /> : ..... .. .. .. ... :. r�.��;���,'���������t ��#�;:."��_,:..�.t.� ''`�''`��'�' ��ri; <br /> ,.._.... 3. �... .<:�..��r,. <br /> Note:All Geothermal Systems wil]now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑ Yes �No <br /> HEATINC SYSTEMS <br /> Quantity: � <br /> Make: Q I Yl.!i7 <br /> Model: � M q n`S Sl`7 6�3 pQV � <br /> Fuel: � •� <br /> Flue Size: �� �VG __ <br /> Input BTUs: Ql�� _ � <br /> Output BTUs: � ��� _ _ <br /> CFM: 1 r�v DD, <br /> COOLING SYSTEMS <br /> Quantity: I <br /> Make: �� I�� �'1 � <br /> Model: ��J�,s 1 r�0��� <br /> Tons: �`1 O f1� <br /> H.Power � ,� <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood Buroing Fireplace <br /> ❑ Wood Stove Model No.: <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 STORA.GE (Must be approved by Fire Marsha/1 ijpraposing eo abandon tank in place.) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside <br /> LP Gas: gallons <br /> Other; <br /> GAS L1NE ONLX <br /> ❑ OUtdoor Grill ❑ Other/List What&Where: <br /> 2 <br />