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� <br /> ���� _- � - c��_ -L-����s�a�nv ,�sTaii�� .. _ � � �• <br /> Note: All Geotherma! Systems wil] now require a Site Plan& Review by our Bailding Official. <br /> IS THIS GEOTHERMAL? ❑ Yes ❑No <br /> HEATING SYSTEMS <br /> Quantiry: � <br /> Make: � l� <br /> Modet: � <br /> Fuei: <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs: <br /> CFM: " <br /> COOLING SYSTEMS � bG <br /> Quantity: <br /> , <br /> Make: <br /> Model: � <br /> Tons: <br /> H. Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove Mode!No.: <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTIl.ATION <br /> . <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust{must have duct outside) �� <br /> ❑ No. Other Fans: Locations �� <br /> FUEL STORACE {Mwsl be approved by Fire Marshal!if pruposiag fo abandon tank in p/ac�) <br /> ❑ lnstallation ❑ Removaf <br /> Fuel Oil: gallons ❑ Underground ❑ lnside ❑Outside <br /> LP Gas: gailons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What& Where: <br /> 2 <br />