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� ' <br /> ._ , �c��vicA�,s�s��s sE���rrsr�,L�v <br /> � <br /> Note: All Geothermal Systems will now require a Site Plan& Review by our Building Ofticial. <br /> IS THIS GEOTHERMAL? ❑ Yes ❑ No <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> Input BTL`s: _ ___ __ i_ <br /> Output BTL`s: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: -----� — -- — -- <br /> Make: � t\ 1 � — ----_ <br /> ModeL• �(��__ _____ _ <br /> � <br /> Tons: _ � __ <br /> H. Power ;�� !J� <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood Burning Fireplace <br /> ❑ V4'ood Stove Model Na: _ <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: l,ocations cfm <br /> FUEL STORAGE (Must be approved by Fire Marsha!l if proposing to ubandon tank in pluc�J <br /> ❑ Installation ❑ Removal <br /> Fuel OiL• gallons ❑ Underground ❑ Inside ❑Outside <br /> ---.___._. . <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other i List What& W'here: <br /> � <br />