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,R�s • <br /> f <br /> f <br /> Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS TffiS GEOTHERMAL? [�,yes ❑No <br /> HEATING SYSTEMS ��-�c,�c �O�.�• <br /> �Iq��. <br /> Quantity: �"' I -� — � — ( <br /> Make: -I��iT���o��,� �► Q <br /> Model: � 9g67B�lgo8o qg6TB�1�n <br /> Fuel: a �rc.X /���iJC. <br /> Flue Size: a'� � �' a �� <br /> —�-- <br /> InputBTUs: �'Q��_ �(�r �p G�� �b <br /> Output BTLJs: g�Q � �� Sg � Q <br /> , <br /> CFM: g ��d� g� <br /> COOLING SYSTEMS <br /> Quantity: _ � _ � / <br /> Make: �(� (�n- �� o(n -� <br /> Model: ' 6�C�SXXCO G�S d 3�S/� (�'.ZS��ySk X C,11 <br /> Tons: 3 �? �^ <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 x duct <br /> � No. Bath Exhaust(must have duct outside) recirculating Q?Cj �� <br /> � No. � pther Fans: Locations Ll- ���� <br /> _ IC i'�c�.t e-�"�P ,3ca� cfm <br /> FUELSTORAGE � <br /> (Must be approved by Fire Marshall if proposing to abandon tank in place.) <br /> ❑ Installation ❑ Removal <br /> FuelOil: gallons <br /> LP Gas: ❑ Underground ❑Inside ❑Outside <br /> gallons <br /> Other: <br /> GAS LINE ONLY <br /> .� Outdoor Grill � Other/List What&Where:���� �-��� ���P�a.C.Q�, <br /> 2 <br />