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. . <br /> �Tote: A11 Geothermal Systems will now require a Siie Plan&Review by aur Building Official. <br /> IS TffiS GEO�SERMAL? ❑ Yes �No <br /> fIEATIIVG SYS7'�MS <br /> Quantity: <br /> Makc: <br /> Model; <br /> FueL• <br /> rine siza: <br /> 1�utBTUs: _ �___ _v_^_ <br /> Output B'�'Us: _ __� <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Mak.e= <br /> Modcl: <br /> Tons: <br /> H.Power ' <br /> FIREPLACES <br /> ❑ Gas Factory l�ire�place Brand Name: <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove Model No.: <br /> ❑ Wood Stove With Flue <br /> VENTILATION <br /> / i� <br /> � No. � Kitchen Exhaust l0 duct xecixcvlatin,� ��cfm <br /> ❑ No. Bath,�xhaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FiJEL STOR.AGE (Must be approved by Fire Marshall ijprnpnsing tn abandon tank iR pldce.) <br /> ❑ Installation ❑ Remaval <br /> Fuel Oil: gallons � ❑ Underground ❑ Ynsidc ❑Outside <br /> LP Gas: gallons <br /> Othcr: . <br /> GAS LINE ONL'Y <br /> ❑ Outdoor Crrill Other/List What&Where= as T��� L�' B� S��f`� <br /> � � — <br /> z (��S Li n-�, �I��"r�� <br /> J <br /> t����d 9Z91�6bZZS6�01 �W0�1� d60�SZ 0T0Z-9Z-�flt <br />