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� �► <br /> ]ViE��I�1.NT���'��'T�S�BU������.,�,�3 � � ;�_ <br /> � . . _, � � ... . . _ _ . u , n � ... �.. �. <br /> r �.. ,,,.. <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 /> Quanrity: <br /> Make: <br /> Model: - <br /> Fuel: <br /> Flue Size: <br /> Input BTLTs: <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: IVK���l}� <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove Model No.: `�U � �} <br /> ❑ Wood Stove With Flue <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct 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 if proposing to abandon tank in place.) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑Ittside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill � Other/List What&Where: �I �L C pI /J���/ �V�,�19 /1Q�`' <br /> 2 <br />