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, <br /> c <br /> 1 <br /> Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑ Yes ❑� No <br /> HEATING SYSTEMS <br /> Quantiry: � . <br /> Make: BrYant <br /> ModeL• <br /> 355CAV042080 <br /> Fuel: Nat Gas <br /> Flue Size: <br /> Input BTUs: 80,000 <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: � <br /> Make: Br'Yant <br /> Model: �24ANA030 <br /> Tons: 2"5 <br /> H.Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood Burning Fireplace <br /> 8 Wood Stove Model No.: <br /> ❑ Wood Stove With Flue <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 /> FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place) <br /> � Installation � Removal <br /> Fuel Oil: gallons ❑ Underground a Inside �Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill � Other/List What&Where: <br /> 2 <br />