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; � <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: � �n a�!CLJ / /\� � r <br /> Make: ��"i i r��/^ ���C.�]�/ ��37/�lr <br /> Model: S��O����Iy (�/1//'17��C ��'/U'/1 �%C� �Q,�� <br /> Fuel: V KS �� ��" ' " <br /> Flue Size: <br /> �t( --��'�--r-- �ff <br /> Input BTUs: CG(J/ dD� <br /> Output BTUs: �/�l�t� <br /> CFM: O /� <br /> COOLING SYSTEMS <br /> Quantity: � <br /> Make: ��e-/" <br /> Model: �7� cFU� <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 cfin <br /> ❑ No. Bath Exhaust(must have duct outside) cfin <br /> ❑ No. Other Fans: Locations cfin <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: w ,, ,,_,, �r �( � �m <br /> GAS LINE ONLY Z � ` C�� y ��� (�G � � <br /> �t r"1LG�Jj!'iC� ��11 lllh �Q p'"C� �i'L�'YJ <br /> � Outdoor Grill �[ Other/List What&Where: <br /> l �- ✓ � <br /> 2 <br />