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12/12/2016 13:34 7634987618 COMFORT MATTERS HTGE PAGE 02/03 <br /> Note:All Geothermal Systems will now require a Site Pl &Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑Yeso <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Fuel: <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 Factory Fireplace Brand Nance: <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove Modcl No.: <br /> ❑ Wood Stove with Flue/Masonry <br /> VENJLATJON <br /> ❑ No. Kitchen Exhaust duct recirculating oftn <br /> ❑ No. Bath exhaust(must have duct outside) cfni <br /> ❑ No. Other Fans: Locations cfrn <br /> FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place) <br /> ❑ Installation ❑ 'Removal <br /> Fuel Oil: gallons 0 Underground 0 Inside ❑Outside <br /> LP Gas; gallons <br /> Other: <br /> SGAS U E ONLY <br /> ❑ Outdoor Grill El Other/List What&Where: <br /> 2 <br />