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Mar ld 2015 10: 57RM HP LRSERJET FRX page 3 <br /> Note:All Geothermal Systems will now reguire a Site Plan&Review by our Huilding Official. <br /> IS THIS GEUTHERMAL? ❑ Yes �No <br /> AEATING SYSTEM5 <br /> Quantity: � <br /> �C: �'�rl� <br /> Mudel: ��°I n J'��:SN r0�o 0 <br /> Fuel: ��_,A� <br /> Flue Size: �� -_ <br /> [nput BTUs: _�O�bb O <br /> Output BTUs: � <br /> CFM: <br /> COOLING SYSTEMS <br /> �,tiri: l <br /> Make: _ L.II.lC'Y"j�� <br /> M��: 15 S ee.r 24�'B8 o3L <br /> Tons: <br /> H.Power <br /> ��tEPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stave Model No.: <br /> ❑ Wood Stove with F1ue/Masonry <br /> VE N <br /> [.� No. �_ Kitchen Exhanst duct recirculating �3�D cfm <br /> �� No. �_ Bath Exhaust(must have duct outside) , 3 cfm @a� <br /> �� No. �_ Other Fans: Locations v'b� �cfin <br /> FUEL STORAGE (11'4��st be approved by Ftre Marshal!if proposing to abandon tank i�place.) <br /> ❑ Lnstallation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> GA5 L1NE ONLY <br /> ❑ Outdoor Gril! ❑ �ther/List What&VJhere: <br /> 2 <br /> ; <br /> � <br />