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__ , <br /> ,, . . �., ' <br /> -��ti � <br /> � „ <br /> "� <br /> a __. _:, .. , ._ .�4._,_. r � ,. <br /> , . .. _�. �. � �„� .. . w, _ <br /> r <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 /> Quantity: � <br /> Make: lll4�'� <br /> Model: <br /> Fuel: / <br /> �� <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 /> . - <br /> ❑ Gas Factory Fireplace-• Brand Name: , <br /> ❑ Wood Burning Fireplace <br /> � ❑ ' Wood Stove Model No.; <br /> � �d Wood Stove with Flue/Masonry � � ' ' � ` ' � <br /> y <br /> VENTILATION : • , ' <br /> ❑ No. Kitchen Exhaust duct , recirculating cfin <br /> ❑ No. Bath Exhaust(must have duct outside) cfin <br /> ❑ No. Other Fans: Locations cfrn <br /> FUEL STORAGE (Must be approved by Fire Marsha[[if proposing to abandon tank in place.) <br /> . ,_ . , <br /> ,;. <br /> ❑ Installation ❑ Removal " ', ' <br /> ` ~ Fuel Oil: gallons ',� Ljnderground ❑ Inside ❑ Outside <br /> LP Gas: gallons <br /> � Other: , , , , <br /> GAS LINE ONLY , <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />