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� <br /> E <br /> �',, �. : �+������' � ���� <br /> Note: Al!Geothermal Systems will now require a Site Plan& Review by our Building Official. <br /> IS TH1S GEOTHERMAL? ❑ Yes o <br /> HEATING SYSTEMS <br /> Quantiry: — <br /> Make: - — — - <br /> Model: - — - <br /> Fuel: --- - - -- —._ <br /> Flue Size: _ — -- <br /> Input BTUs: __ — - <br /> Output BTUs: _._ -- - -- — <br /> CFM: ---,__ ---- — <br /> COOL[NG SYSTEMS <br /> Quantity: _� - <br /> Make: J'L�k1_5�1--� _ ..-- _ <br /> � � .� <br /> ModeL• :� � ' ��-�� ( — <br /> __ -- -- <br /> Tons: �'� - -- - <br /> H.Power _ . _ - -- — <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: _ <br /> � Wood Burning Fireplace <br /> � Wood Stove Model No.: _... __ <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> � �o. � Kitchen Exhaust__ d _ recirculating __cfm <br /> ❑ No. __ Bath Exhaust(must have duct outside) cfm <br /> ❑ No. _._ Other Fans: Locations__ cfm <br /> FUEL STORAGE (Must be approved by Fire Marshall ijpraposing to abandon tank in place.) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: _gallons ❑ Lnderground ❑ Inside ❑Outside <br /> LP Gas: _gallons <br /> Other: ___ — <br /> GAS LINE ONLY � <br /> �� ' -� <br /> ❑ Outdoor Grill Other%List What&Where: -��- _ <br /> � <br />