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F <br /> r� - <br /> y "� /�. yy;;,, (�� �*�((�!1�K.�'�'�'��7(�� .. ..(� I <br /> .. �,'_�st• .. y ��.�%t�lya . ... ,1'+�Yi, ,,►{,F+++a++4!�+4�!+s��+ .�..�_ '. ...y'�., � <br /> Note:All GeothermaPSystems will now require a Site Plan&Review by our Building Official. j <br /> IS TffiS GEOTHERIVIAL? ❑Yes ❑No <br /> HEATING SYSTEMS <br /> Quantity: ; <br /> Make: �i <br /> Model: I <br /> FueL• � <br /> Flue Size: � <br /> Input BTUs: ' i <br /> Output BTUs: � <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: ' I <br /> Tons: � <br /> H.Power � <br /> FIREPLACES I � <br /> � Gas,Factory Fireplace Brand Name: J t��2r t�� <br /> ❑ Wood Bumin Fir lace <br /> g eP <br /> ❑ Wobd Stove Model No.: <br /> ❑ Wobd Stove with Flue/Masonry <br /> VENTILATION � <br /> ❑ No., Kitchen Exhaust duct recirculating cfin � <br /> ❑ No, Bath Exhaust(must have duct outside) cfm <br /> ❑ No: Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in plac�) I <br /> ❑ Ins�allation ❑ Removal <br /> Fu I 1 Oil: gallons ❑ Underground ❑Inside ❑Outside I <br /> LP�Gas: gallons <br /> Otf►er: <br /> GAS LINE ONLY ' <br /> ❑ Outdoor Grill ❑ Other/List What&Where: j <br /> � 2 <br /> ' I <br />