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' , . <br /> � .�1y1r,�11:XM�ll.i"�� ��,�1a11�tJ?���Y'�1 ��'ian9^� y. ).�F yw v��,xx,r . <br /> Jr "jy A <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 /> ��;ty: I <br /> Make: I�j �• <br /> Model: � � � <br /> Fuel: • <br /> I'lue Size: <br /> 2'' �C� <br /> Input BTUs: O C' <br /> Oatput BTUs: <br /> CI'M: <br /> COOLING SYSTEMS <br /> Q�tr�'� <br /> Nfake: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood Burnulg Fireplace <br /> ❑ Wood Stove Model No.: <br /> ❑ Wcwd Stove with Flue/Masonry <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfin <br /> a No. Bath E�aust(must ha�e u�t outside cfrn <br /> yr2 No. _j_ Other Fans: Locations ir [ cfin <br /> FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in pince.) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ (hrtdoor Grill � Other/List What&Where: ���" �'��� <br /> 2 � <br />