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. . . .�sy�` t;, �'�� � <br /> � <br /> Note:All Geothermal Systems will now require a Site Plan 8t Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑Yes �No <br /> HEATING SYSTEMS <br /> QuantitY_ <br /> � <br /> Make: -----„-�c <br /> Model: A r`" <br /> --- , — <br /> Fuel: �" <br /> Flue Size: ,�- <br /> Ix►put BTUs: <br /> Output BTUs;. '� <br /> C�: __ - <br /> COOLING SYSTEMS <br /> Quantity: ] <br /> ---� <br /> Make: j <br /> Model: <br /> Tons: �i <br /> H.Power <br /> FIREPLACES <br /> ❑ Gas FactQry Fireplace Brand Narne: <br /> ❑ Wood`$uming Fireplace <br /> ❑ ,.- "�Vood Stove Model No.: <br /> �]" Wood Stove with Flue/Masonry <br /> .�' <br /> VENTII.ATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ l�io. Bath Eachaust(must have duct outside) �� <br /> [�-' No. Other Fans: Locations �� <br /> i' <br /> FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in plac�) <br /> ❑ Inst�l��on' I' ❑ Removal <br /> ��� Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside <br /> � LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> `.�.. <br /> y,,.,.[] Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />