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10-28—'14 14:48 FROM— 1-108 P0002/0007 F-220 <br /> �.,( 1.!,.,•:.v kr.t Rlya"',;"� /? .10 VSY$04.$04N :1NS_;RA MTII.U.Nr�, !,`y. afi +4 c{i: • <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 BTUs: <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> • <br /> H.Power <br /> • <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> Wood Burning Fireplace �7 //,� <br /> ❑ Wood Stove Model No.: b3-U1 SGnS\',�Wk <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fire Marshall if 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 />