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, �►. <br /> . <br /> 4 " , 'w"' .a:�� <br /> ��4�,� <br /> . ������������������������:;i� K� , ` �.. '�'�° <br /> Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official. ` "'"" <br /> IS THIS GEOTHERMAL? ❑ Yes � No <br /> 1� <br /> HEATING SYSTEMS <br /> Quantity: I <br /> Make: /�ti�-'.�_ <br /> Model: �V���T � VI" �� � <br /> FueL• <br /> �'/ J <br /> Flue Size: <br /> Input BTUs: �� <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: I <br /> Make: � <br /> Model: � '� �j - ------- <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> ❑ Gas Factary�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) � cfm <br /> No. � Other Fans: Locations �' _ ��� cfm <br /> � <br /> FUEL STORAGE (Must be approved hy Fire Marshall ijproposing to abundon 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: � h �� <br /> 7� <br /> 2 �;-� ,��� <br /> � <br /> ��� � <br /> � <br />