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. _r � . <br /> . <br /> Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? � yes �No <br /> �U�� HEATING SYSTEMS <br /> Quantity: � � �' � � <br /> Make: , � r � p�� <br /> �) <br /> �vtode�: S�_—�D� 5g/,�05A115 5 5�s'I J 5 5`�'1������D <br /> Fuel: � 1 �� <br /> 7 <br /> Flue Size: <br /> Input BTUs: f�,5 � /�5. �QD' <br /> (/ <br /> ou�ut B�s: S � �03 ��� <br /> � �c�M: 1 ZDD Do ZDob <br /> z�Qd 3�v <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <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 Exhaust <br /> duct recirculating �� <br /> No. Bath Exhaust(must have duct outsid <br /> No. � Other Fans: Locations — �� <br /> ��firi <br /> FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) I <br /> ❑ Installation ❑ Removal <br /> FuelOil: gallons ❑ Under ound <br /> LP Gas: gallons � ❑Inside ❑Outside <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />