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,9529331�69 17:57:21 06-05-2014 3/4 <br /> . <br /> 1VIECHANTCAL SYSTEMS BEING:TNSTALLED <br /> Note:All Geothermal Systems will now require a Site Plan&Revie��v by our Building Official. <br /> IS THIS GEOTHERMAL? ❑Yes Q'�10 <br /> HEATING SYSTEMS <br /> Qt�lntity: \ l I <br /> Make: f�o Zc. �(',a� <br /> Model: -� �c�, m���� iSC.�C) <br /> Puel: �� �:�5 <br /> Flue Size: <br /> � <br /> Input B1Us: I),I��00 <br /> Output BTUs: 1 <br /> Cf M: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> 'I'ons: <br /> H.Power <br /> FIREPLACES <br /> / <br /> � Gas Fa�tory Fireplace f3rand Name: I{n 1�J ' �"`�� <br /> ❑ Wood Bumine Pireplace <br /> ❑ Wood Stove Model No.: J�ic-��";r.%n ���,��• ��rj C� <br /> ❑ Wood Stove witl�Clue/Masonry <br /> VENTILATION <br /> ❑ Na Kitcl�en Exhaust duct recirculating ctin <br /> � No. B�th�xh�ust(must t�ave duct outside) ctin <br /> No. Otl�er Pans: Locations cfm <br /> FUEL STORAGE (Miis!be npprored Gy Fire Mnrshal[if proposrng to nbandon tnnk in pince.) <br /> ❑ Inst�llation ❑ Ren�oval <br /> I'vel Oil: gallons ❑ Underground ❑Inside ❑Outside <br /> LP Gns: gallons <br /> Otl�er: <br /> GAS LINE ONLY <br /> ❑ Uutdoor Grill ❑ Uth�r/List What&Whcre: <br /> 2 <br />