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.... L <br /> r " <br /> CI�A1rTICAL SYSTEMS BEING INSTALLED <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: <br /> Model: <br /> FueL• <br /> Flue Size: <br /> Input BT'C7s: <br /> Otrtput BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> � Gas Factory Fireplace Brand Name: � �f�,k /� ��0 <br /> Wood Burning Fireplace /� / r7 <br /> ❑ Wood Stove Model No.: l)T u n� .�� <br /> � Wood Stove with Flue/Masonry <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath E�chaust(must have duct outside) cfin <br /> ❑ No. Other Fans: Locations cfm <br /> F'UEL STORAGE (Must be appmved by Fire Marshall if proposfng to abandon tank ln plac�) <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 />