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h+1EC�-3A1'�ICAL SY�TEII�S HEING iNSTALL�� �� < ° .. � <br /> Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS TAIS GEOTHERMAI:? ❑Yes ❑No <br /> HEATING SYSTEMS <br /> Quantity. <br /> Make: <br /> Model: <br /> FueL• <br /> Flue Size: <br /> Input BTUs: <br /> Output BT'Us: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> �, Gas Factory Fireplace Brand Name: 1-�C�� n�( D <br /> � Wood Burning Fireplace '�S 0 T�Q 5 <br /> Wood Stove Model No.: <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Eachaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfin <br /> . , FUEI,�STORAC'E (Must be approved by F�re Marshall ilP�P�ing to abundon tank fn plac�) <br /> .. . , , <br /> ' � : ; Iry��li�6on ❑ Removal <br /> � � ' Firel Oil: gallons ❑ Underground ❑Inside ❑Outside <br /> .. , LP Gas: gallons <br /> . , _ Other. <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />