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� °�� ���zYc r 4 � �� � � �.k �� f 3�� ,�� �� <br /> _ <br /> ' b�,�� r'�.� „� r � ��� ��„�� <br /> � . <br /> `.�.,�: .,. -:�-, ��A <br /> s „ , <br /> ,� ,��� ,. � , <br /> � <br /> Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑ Yes Q� <br /> HEATING SYSTEMS <br /> Quantity: / <br /> Make: S�a►21 Fjn <br /> Model: 1/Sp/�/ad <br /> Fuel: M <br /> �i <br /> Flue Size: s <br /> Input BTUs: �a0,�Q <br /> J <br /> Ouiput BTUs: /�r�J,�fl� <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 /> VENTILATI�iv <br /> ❑ No. Kitchen Exhaust duct recirculating cfin <br /> ❑ No. Bath Exhaust(must have duct outside) �� <br /> ❑ No. Other Fans: Locations �� <br /> FUEL STORAGE (Must be approved by Fire Marsha[[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 /> � <br /> 2 <br /> . . <br />