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♦ � <br /> :`.'..�„ .r .,,.,.,f�r��i`�t���i�..,�',��,(:��:`�:'�'`.r�r'��'��.��'�1`���1'1;�.�i�:. _ .,_ _ <br /> Note: All Geothei�nal Systems will i�ow require a Site Pla��d'z Rev€ew by out•Building Official. <br /> TS THiS G�pTH�RMAL? ❑Yes �No <br /> H�ATYNG S`�STEMS <br /> Quantity� ��Ir J/ �� <br /> Make: <br /> Model: <br /> �'uel: <br /> Flue Size: <br /> Input BTUs� <br /> Outpat BTTJs� _ <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: ��1` �fr� -_,,,1 <br /> Make: <br /> Model: � <br /> Tons: <br /> H.Power <br /> �MREPLACES <br /> � Gas�'actory'fiireplace Brand Name: <br /> Wood Burr�ing Fireplace <br /> ❑ Wood Stove Model No.: <br /> ❑ Wood Stove with�'iue/Iv(asonry <br /> V�tYTILATION <br /> [�] No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. � Bath.Exhaust(must have duct outside) cfn, <br /> ❑ No, Other Fans: LoCBtions �� <br /> FU�L STOI2AGE (�liust be approved by�'ire�farshall if propusireg to abandon tank in pince.) <br /> [] Installation ❑ Removal <br /> Fuel Oil: gallons ❑ C�nder�round ❑Inside ❑Outside <br /> Y,P CYas: gallons <br /> OCher. <br /> GAS LINE ONLY <br /> ❑ Qutdaor Grill ❑ Other/List What&Where:T I ����.��U° �' ��l�� <br /> � <br /> g,Z:a6ed 9ti9b6b�ZS6Z��l ZbZZSZZBZ� H'�d uos��?,�puaH weg:wo,�� 9Z��T S�aZ-tiT-83� <br />