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04/15/2015 16:a4 FAg 9524422451 sgs �OOa <br /> ;.;:.:.<>:i::-:::::;::::< ;.: ; ..;:::::.:..;I►�IE�I�A1++�AL S'Y�- . BT�Cr �`A�:�ED;;. :. ::..::. :.. : ::. ::.:::;, : <br /> Note:Al!Geothcrmal Systems will now require a Site & Revi by our Buildin�Ufficial. <br /> [S THIS GE07'HERMA,�.? ❑Yes .�No <br /> H�ATING SY$TEMS <br /> Quailtity: __. � - <br /> Make: -. <br /> Model: ... - <br /> FueL' . . . _.... � <br /> Flue Size: _... . -- <br /> lnput BTUs: ,� � <br /> Output BTUs: ,.— <br /> CFM: .. <br /> COULIPIG SYSTEMS <br /> Quantity� ....__ ._... <br /> Make: _._. ^ � <br /> Model: _. .— <br /> Tons: _.., <br /> H.Power _...— <br /> FIREPLACE$ <br /> � Gas Factory Fireplace "' v, 9rand Name: �F,��l-� ���f' <br /> + [] Wood Burning Nireplace <br /> � Wpod Stove Model No.: "LY!-�'C,a� � <br /> (] Woc�d Stove with Fluo/Masonry <br /> YEN1'�LATION <br /> [� No. ____ Kitchen Exhaust duct rccireuisting cfm <br /> ❑ No. klath Ezhaus[(tnust have duct outside) �cfm <br /> ❑ No. � Other Fans: Locations �� <br /> FUEL STOBAS�&(Must be approved by Nlre Mprshall(jproposlftg to abandon tartk l�plac�) <br /> ❑ lnstallation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑Insidc ❑Outside <br /> Lp Gas: �gallons <br /> Othar: <br /> �,jtj�E ONLY <br /> ❑ Ovtdoor Grill � Other/List What&Where: ,,_ __— <br /> 2 <br />