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, ' <br /> i <br /> Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑ Yes '�]No <br /> /� <br /> HEATING SYSTEMS <br /> Quantity: I <br /> Make: <br /> Model: � ��� �Q �3 � � <br /> Fuel: � <br /> Flue Size: <br /> Input BTLJs: � � <br /> Output BTUs: , <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: � <br /> Make: ti�, <br /> Model: �I J�� I Y`�� ------ — — <br /> Tons: <br /> H.Power <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 /> ❑ No. Kitchen Eachaust duct recirculating cfm <br /> No. � Bath E�chaust(must have d�t outsidP) cfin <br /> No. Other Fans: Locations_ '� cfm <br /> FUEL STORAGE (Must be app�oved by Fire Marshall iJproposing 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 /> l� <br /> � � <br /> 2 <br /> `�r,-���C� <br />