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4`t4., � � "�, `F ,lYlP�4L7�"11�I,�Lti1:�.-�7 I,'i7t�lYl�3`D�'i11�1,�*+il�l�,'1 t�LL 1J";.,� zc?-�'��g � v <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 <br /> Quantity: <br /> Make: /�/W��� <br /> Modei: � � � <br /> � <br /> Fuel: <br /> Z ��1 <br /> Flue Size: ' <br /> Input BTUs: �� <br /> Output BTUs: ��j�C4�� <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: l • <br /> Make: G�.v�(t' <br /> Modei: � <br /> Tons: �" <br /> H.Power ` �C <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove Model No.: <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> ct <br /> No. � Kitchen Exhaust � duct recirculating �U cfin <br /> � No. � Bath Exhaust(must have duct outside) �� <br /> �S� <br /> ❑ No. Other Fans: Locations cfin <br /> FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />