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. � . <br /> ������AL ���'����L���'. �''r :;:�� �L��L�-; :...': : <br /> Note: All Geothermal Systems will now require a Site Plan&Review by our Building Ofticial. <br /> IS THIS GEOTHERMAL? ❑ Yes ❑No <br /> HEATING SYSTEMS <br /> Quantity: 1�� <br /> Make: � <br /> Model: "R V�',� <br /> Fuel: <br /> Flue Size: <br /> Input B1'Us: —�� <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: 1 <br /> � <br /> Make: <br /> Model: � �� �) <br /> � <br /> Tons: <br /> H.Power <br /> �'IREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood Burning 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) cfin <br /> No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fire Marshal[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 /> � � �� <br /> 2 <br />