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.Nov, 4. 2015 11 : 11AM No. 5271 P. 3 <br /> ,-,.., . <br /> . <br /> ....;,,,, �,,;`.. ;� ,y�, <br /> '.� ,: <br /> �-���cAX;,;s; �sT�Ms:��� .�-�r�sT�;..�� ,;:,;.,;_. <br /> Note:All Geothemnal Systems will now reyuire a Site Pl�n&Revier�v by our Building Official_ <br /> LS THTS GEOT�RMAX,? C]Yes�No <br /> HEATING SYSTEMS <br /> QuantiCy: _ <br /> Make: , �_ <br /> Model: <br /> F1�el: <br /> Flue Size: <br /> Tnput BTUs: <br /> Output HTUs: <br /> CFM: <br /> COOT.YN'G S'Y'ST�MS <br /> Q�u�Y� <br /> Ma1re: <br /> Model: <br /> Tons: <br /> H.Powcr <br /> FIREPLACES <br /> ❑ Gas Factory�ireplace Hrand Narne: <br /> ❑ Wood�urning Fireplace <br /> ❑ Wood StoWe Model No.: <br /> ❑ Woad Stove with�lue/Masonry <br /> VENTILATION <br /> ❑ No. YCitchcn�7thaust duct recirculating cfm <br /> ❑ No. �ath�xhaust(must ha�ve duct outaide) cfm <br /> ❑ No. Othcr Fans: T.ocations cfm <br /> 1�YJ]E�,STO��(Musd be approved by Ftire MarahaR ifproposing to abandor�tank in plac�) <br /> ❑ Installation ❑ RcmoWal <br /> Fuel 0i1� gallons ❑ C7nderground 0 Tnside ❑Outside <br /> LP Gas: gallons <br /> • Other: <br /> �AS�,Y1V�ON�.'Y <br /> ❑ Outdoor Grill QSII Othor/List What dt'Where: 1` � <br /> �- ��,,�,� ��1�. <br /> z <br />