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' ' � _ - u. �� , .; .� w . ., r _ <br /> t� Ae�S�'E � ��S �' i��D°� <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: <br /> Model: <br /> Fuel: � <br /> Flue Size: <br /> Input BTLTs: ; `� � <br /> Output BTLTs: <br /> CFM: / � <br /> COOLING SYSTEMS <br /> ��ty: r <br /> Make: � <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood Buming Fireplace <br /> � Wood Stove Model No.: <br /> ❑ Wood Stove With Fl�e <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ � No. Bath Exhaust(must have duct outside) cfm <br /> ❑ , No. Other Fans: Locations cfin <br /> F'UEL STORA�E (Must be apprm�ed by Fire MarshaU if proposing to abanadon ta�k in place.) <br /> ❑ Installation a Removal <br /> Fuel Oil: gallor�s ❑ Underground �Inside �Outside <br /> LP Gas: g,allons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill � Other/List What&Where: <br /> 2 <br />