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� � <br /> , . , <br /> Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑ Yes (�f No <br /> HEATING SYSTEMS <br /> Quantity: � � <br /> Make: �.n n o x' �-�1 h�1�' <br /> Model: �rr+ p � <br /> Fuel: �f�(�,�- ��-' <br /> a �. a ,- <br /> Flue Size: <br /> Input BTUs: O 4�� ��,o O� <br /> Output BTUs: O �ir ��� <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: � � <br /> Make: ��p� 1��1f1�� <br /> Model: l,3 �G� l3 �i,D <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 <br /> VENTILATION <br /> ❑ No. � Kitchen Exhaust duct recirculating yS�cfin <br /> ❑ No. �_ Bath Exhaust(must have duct outside) �� <br /> ❑ No. Other Fans: Locarions 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 /> 2 <br />