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� <br /> ,.,.,... . .,._.. .. „�,...,_,.......:,.. _ _ —- - - �/�y - ' �ir <br /> .._.__ _ -�r.. .w.... .._.. ,., <br /> �C .aT!'.��dj_�a�iipe�!y,�,/':�J:.� .j; � �`[� � '�4:"i 'iM,«�-,'.�,'',�°!j �'�':+i:h•;;+:ot�:_ <br /> ,•'�-1���JC;;�'n:2�:11:{:�::Y.\'2�w..::"r .:M' Y�+`-� �'1����y-.�i��»'•i:'!il�ti�vt;�i:';�`.,"ti.;r� <br /> Note:All Geothermal S�stems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTH�1tMAL" ❑'Yes �No <br /> HEATING SYSTEMS <br /> Quantity: r <br /> Make� �� <br /> Model� �� �o�a13>�'�� <br /> �uel; �✓ C� <br /> �'lue Size: <br /> Cnput BTUs: <br /> Output BTUs: <br /> C�M: <br /> COOLING SYS'f�MS <br /> Quantity: � <br /> Make; ��u <br /> Model: ���/"�✓/� ` <br /> Tons: � <br /> H.Power <br /> FIREPLAC�S <br /> ❑ Gss Factory Fireplace Brand Name: <br /> ❑ Wood$urning Pireplace <br /> ❑ Wood Stove Model No.; <br /> ❑ Wood Stove with�lue/Masonry <br /> VENTILATION <br /> � No. � K'rtchen ExhausC duct recirculating cfm <br /> Q No. � Bath�xhaust(must have duct outside) cfm <br /> ❑ No. Oi}teC FanS� Locations ' �� <br /> �UEL STORAGE (Must be approved by Frre Marsball ijproposirrg to abandors taak in p1aCe.) <br /> ❑ Installation ❑ Removal <br /> �uel Oil: g311ons ❑ �lnderground []Tnside ❑Ou[side <br /> I�F Gas: gallons <br /> Other: <br /> C S LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&'Where: <br /> 2 <br /> g�Z:a6pd 9T9b6bZ2S6Z��l ZbZZSLZOZ� H'8d uos�ot,�puaH tueg:wo.a� ZS�Z� SZOZ-80-1�0 <br />