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� ����,�������.�" �."�''1VIEGHAI�IIC%�L��"�'T'E $� � �T,ALLED�� � : �� �` <br /> �T_ . � = <br /> � <br /> � � -W <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: (�l'��c�oV h�C�� ��y� k!'�'�V4�iE/l <br /> Make: � Y�O <br /> Model: I�T(S r(j�. 3 <br /> Fuel: -- <br /> Flue Size: <br /> Input BTUs: �Q �YX <br /> Output BTUs: �- <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 /> VENTILATION <br /> � No. � Kitchen Exhaust�_duct recirculating �cfm V�(��q�PS eK1S�'�� <br /> � No. V Bath E�chaust(must have duct ou ide) �d U cfm r-e p Iac�S exts-�i rn S <br /> [� No. � Other Fans: Locations � S�o(,� �c90 cf r e��c�cPc� ���S'�i„�� <br /> l� � ��V 20cO�-� nEw <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 />