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�� � .�:�� �..�=��I���G ���'T�MS BEING;�INS����D��� ,�;n z;.���-���' ��;�� � <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 /> Quantity: � <br /> Make: � ��'� <br /> Model: �Z � �"n`'��'d � <br /> Fuel: �� <br /> Flue Size: <br /> 0 � <br /> Input BTUs: ! D� <br /> Output BTUs: J �� � av <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: l <br /> Make: � oVlt <br /> Model: �b'��ZY <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/Masonry <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfin <br /> FUEL STORAGE (Must be approved by Fdre Marshall if proposing to abandon tank in place.) <br /> ❑ 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 />