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t ` i <br /> Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑Yes 0 No <br /> HEATING SYSTEMS <br /> Quantity: � <br /> Make: Payne <br /> Model: <br /> PG8MAA042090 <br /> Fuel: Natural gas <br /> Flue Size: <br /> 6" <br /> Input BTUs: 88K <br /> Output BTUs: 70K <br /> CFM: 1225 <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> � Gas Factory Fireplace Brand Name: <br /> ❑ Wood Burning Fireplace <br /> � Wood Stove Model No.: <br /> ❑ Wood Stove With Flue <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfin <br /> ❑ No. Bath Exhaust(must have duct outside) cfin <br /> � No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fire MarshaU ijproposing to abaedon tank in place.) <br /> 0 Installation � Removal <br /> Fuel 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 />