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Apr. 3. 2018 9:29AM PRACTICAL SYSTEMS No. 4175 P. 3 <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 /> H.Power <br /> FIREPLACES <br /> 0 Gas Factory Fireplace Brand Name: <br /> ❑ Wood Burning Fireplace <br /> El Wood Stove Model No.: <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> igs No. Kitchen Exhaust duct recirculatingcfm <br /> No. !s Bath Exhaust(must have duct outside) *SO/� elm <br /> No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fire Marshall rf 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: (In, Qabl_k nL120, <br /> 2 ctr(f1O.C. /OCmtidr) <br />