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07-18-'17 10:51 FROM- 1-492 P0002/0004 F-808 <br /> 46, <br /> Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? U Yes El No <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Fuel: <br /> Hue Size: <br /> Input BTIJs: <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> q- Gas Factory Fireplace Brand Name: iter <br /> Wood Burning Fireplace <br /> n Wood Stove Model No.: <br /> • Wood Stove with Flue/Masonry <br /> VENTILATION <br /> Lii No. Kitchen Exhaust duct recirculating cfm <br /> 1=1 No. Bath Exhaust(must have duct outside) cfm <br /> O No. Other Fans: Locations cfm <br /> FUEL STORAGE (Mast be approved by Fire Marshall if proposing to abandon tank in place.) <br /> ElI Installation Removal <br /> Fuel Oil: gallons Underground Inside 0 Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> O Outdoor Grill fl Other/List What&Where: <br /> 2 <br />