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1 � <br /> � I �, : X�f' /O - / jE�`4 E PYk":,, ? ��� � <br /> � n � � � ��E����yl, €� ��1��f�� , ����y� �€E�i� � ,���t� ��- /����..mv��:l <br /> s l <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: :�,� /icr/ <br /> Model: '�%>-�'�� <br /> Fuel: /v/� <br /> Flue Size: <br /> Input BTUs: ��'.�r�t3 <br /> Output BTUs: :�,�. �aG <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 /> B Wood Stove Model No.: <br /> ❑ Wood Stove With Flue <br /> VE�iT1LATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfin <br /> ❑ No. Bath E�aust(must have duct outside) cfin <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approvet!by Fire Marslzall if proposing to abantlon 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 />