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Aug- 15- 2016 8:50AM No. 0112 P. 2 <br /> gill JOE III <br /> Note:All Geothermal Systems will now require a Site plan&Review by our Building Official. <br /> IS TRES GEOTHERMAL? ❑Yes 9No <br /> H1EATJNG 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 Name: <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove Model No.: <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> t'e-l e cite e.*sf'^9 <br /> C] No, t Kitchen Exhaust 19" 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 Fre Marshall ifproposing to abandon,tank in place) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside <br /> Ll?Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: 1`,t? Con n @I c+45 SioVe- <br /> 2 <br />