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� # <br /> ...�4 �, ICAL� p°'�i`EMS BE °`���4 <br /> Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. <br /> IS THIS GEOTI3ERMAL? ❑ Yes (�No <br /> HEATING SYSTEMS <br /> Quantity: � <br /> Make: �{�i?�n�L �U�0e � <br /> Model: ��ti(Y�a�C ��'S <br /> Fuel: �4� <br /> Flue Size: �U C 31I <br /> Input BTUs: � I�� <br /> Output BTUs: �b�k <br /> CFM: N f� <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H. Power <br /> FIREPLACES <br /> ❑ Gas Factory Firepiace Brand Name: <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove Model No.: <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recircularing cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfin <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fire Marshal!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 />