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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 /> Q��t�Ty: � <br /> M�xe: Carrier <br /> Mo�e�: 58MVC <br /> Fue►: Nat GaS <br /> Flue Size: <br /> Input BTUs: 10�,��� 1��,��� <br /> ou�ut BTus: 95,000 95,000 <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: � <br /> Make: Carrl@r <br /> Moae�: 24APA5 <br /> Tons: 3 <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 Ea�haust duct r�irculating cfin <br /> No. Bath Exhaust(must have duct outside) cfin <br /> No. Other Fans: Locations cfrn <br /> FUEL STORAGE (Must be approved by Fire Marshall f 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 />