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. <br /> � � <br /> Note:All Geothermal Systerns will now requi.re a ite Plan&Review by our Bui(ding Official. <br /> IS THIS GEOTHERMAL? ❑ Yes �No <br /> HEATING SYSTEMS <br /> Quantity: l <br /> Make: \ <br /> Modei: ���`_�L`?,���?C�`.7l''`� <br /> Fuel; �j (� • <br /> Flue Size: �j't <br /> InputBTUs; ���},[i(}� <br /> Output BTUs: `�����,��"; <br /> CFM: �(p L,�'; <br /> COOLING SYSTEMS <br /> Quantity: ( <br /> > <br /> Make: ''j -� <br /> Model: � ' �}k-'�('Z <br /> Tons: 2' '�? <br /> H.Power <br /> FIItEPLACES <br /> ❑ Gas Factory Fireplace Brand Nama: <br /> ❑ Wood Burning Firepiace <br /> ❑ Wood Stove Model No.: <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATI4N <br /> ❑ . No. Kitchen E�chaust duct recircuEat�ng cfm <br /> ['� No. � Bath Exhaust(must have duct outside) � �-r;��U=t'h <br /> ❑ No. Other Fans: Locations ��� �. ��,�� <br /> I+UEL STORA E i-i 10 C,FY1� <br /> � (Must be approved by F'tre Marsl�all if proposing to abandon tank Jn plac�j <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside <br /> LP Gas: galtons <br /> r Other. <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/I,ist What&Where: <br /> 2 <br />