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-a�3.�% `�k�'"� � t'� _rc ����v.� .�T�������,.Y'1 �' . � � <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: 'E��l <br /> Model: �/G �� ( � �8� � 3�C, <br /> Fuel: � <br /> Flue Size: <br /> �i, <br /> Input BTUs: 8(�,d e � <br /> ou�ut BTus: �?6 � o 0 <br /> CFM: (6 O f� <br /> COOLING SYSTEMS <br /> Quantity: � <br /> � <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 <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust 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 Fire Marshall 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 /> 2 <br />