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1 � <br /> � <br /> �- . ...:' . . . , :. <br /> . . '' �__` . - . .i .:.t <br /> . . .. .. .... . .. .: ...�.. ..�. .... ..........�L.. .. ._ . . . .._. . 5...�_�. ,�,'� . <br /> Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOT�iERMAL? ❑Yes No <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Fue'1: <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: - <br /> Make: <br /> ModeL• <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> ❑ Gas Factor�Fireplace Brand Name: <br /> ❑ Wood Burning Fireplace <br /> 8 Wood Sto�e Model No.: <br /> ❑ Wood Sto�e With Flue <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfin <br /> ❑ No. Other Fans: Locations cfin <br /> FITEL STORAGE (Must be approved by�re Marshall if proposing to abandon tank in place.) <br /> � Installation a Removal <br /> Fuel Oil: gallons ❑ Underground �Inside �Outside <br /> LP Gas: gailons <br /> Other: t.�a S-��e f� � ( <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill � Other/List What&Where: <br /> 2 <br />