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a � <br /> ' <br /> Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS TffiS GEOTHERMAL? ❑ Yes ❑No <br /> HEATING SYSTEMS <br /> Q�rih'� 0 n� <br /> . Make: /-�E-l�-T= �!-(��.D <br /> Model: �L 3� ��,5 <br /> Fuel: ,��-7, �j�S <br /> Flue Size: <br /> Input BTUs: !'��L��D —ZOL�(� <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quanrity: <br /> Make: <br /> Model: <br /> Tons: _ <br /> ' H.Power <br /> FIREPLACES <br /> ,� Gas Factory Fireplace Brand Name: �c/�-�-� �,LD <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove Model No.: S L 3_S O ��S <br /> ❑ Wood Stove With Flue <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfrn <br /> ❑ No. Bath Exhaust(must have duct outside) cfin <br /> ❑ No. Other Fans: Locations �� <br /> FUEL STORAGE(MUST BE APPROVED BY FIltE MARSHALL) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside ' <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />