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. <br /> ��r �4 <br /> r� a# _ � "ta°'�t�'� 'o-mk?k'+�^; , �✓�';�� � ��y �x, Y ,�b�ix���a� 7�.��qiy��.h,� <br /> ' +° .,,� .,,_ <br /> � � � � <br /> �.� <br /> ,, _.� :.,_�� , "� <br /> � �� r� . � � � � .,n C .�`1+�;.�x„+ „�.' <br /> Note:All Geothermal Systems will now require a Site Plan&Review by our Building(Jfficial. <br /> IS TAIS GEOT�IERMAL? ❑Yes �No <br /> HEATING SYSTEMS <br /> Q,��ri: � <br /> Make: _J�� � — <br /> Moc�el: f Gl(�l G ll�l�f��,�'i� <br /> FueL• t�' �S <br /> Flue Size: <br /> Input BTUs: !���/ v U (,.� <br /> 4utput BTUs: _�_ )(� <br /> CFM: <br /> CQOLING SYSTEMS <br /> Q��ty� � <br /> ��: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> ❑ Cias Factory Fireplace Brand Name: <br /> ❑ Wood Buming Fi.replace <br /> ❑ Wood Stove Model No.: <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) �� <br /> ❑ No. Other Fans: Locations �� <br /> FUEL STORAGE (Must be appraved by Fire Marshatl if proposing to abandon tank in place.) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gailons ❑ Underground ❑Inside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdaar Grill ❑ Other/List What&Where: <br /> 2 <br />