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atl s t 4.. <br /> .. � _ � � ._ ._. , r <br /> Y'l +���J\ : ..: ...- . z a � � . .. t �C.. �tA�]I <br /> ��,=���.�f� . ... ;.-.. .�_.. .�. .. .._,, ::,...:. '.. ..,, e:, .'�... . . ���.. ,.. r..;.. �_3-rS1� <br /> Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑ Yes .� No <br /> HEATING Sl'STEMS <br /> Quantity: � <br /> Make: �c"n�t p� <br /> Model: �lyl�p�/"���"` ��� <br /> Fuel: /V: � � <br /> Flue Size: ,��� <br /> Input BTUs: � 6 0� <br /> Output BTUs: � Q� <br /> CFM: �y,s� <br /> COOLING SYSTEMS <br /> Quantity: � <br /> Make: �EI'!/I p� <br /> Model: /��/�` O�oZ- <br /> � <br /> Tons: �i`) <br /> H. Power �_ <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> �//� ❑ Wood Burning Fireplace <br /> A� ❑ Wood Stove Model No.: <br /> ❑ Wood Stove With Flue <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> �/� ❑� No. Bath Exhaust(must have duct outside) cfm <br /> No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved b>>Fire Mars/1a1!if proposing to abandon tank in place.) <br /> ❑ Installation ❑ Removal <br /> N f� Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside <br /> � LP Gas: gallons <br /> ' Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> Y _ <br /> Nf R 2 <br />