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. � � <br /> , <br /> f 1 <br /> Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAI,? �yes ❑No <br /> HEATING SYSTEMS <br /> Qu�t�ty: � � <br /> Make: � <br /> Model: � � <br /> Fuel: — <br /> Flue Size: <br /> Input BTUs: �/V(?0� �j� �7 <br /> , <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 �� <br /> No. Bath Exhaust(must have duct outside) <br /> ❑ No. Other Fans: Locations �� <br /> cfin <br /> FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) <br /> ❑ Installation ❑ Removal <br /> FuelOil: gallons <br /> LP Gas: ❑ Underground ❑Inside ❑Outside <br /> gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill � Other/List What&Where: � '�l <br /> � <br /> 2 <br />