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01-09—'18 14:13 FROM— T-386 P0002/0004 F-805 <br /> ' iv e lv[cAiS r$TtVSU NORIA LEDs a a ,,, ..'r.. <br /> Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑Yes ❑No <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> yprele <br /> ❑ W ' ,1 , Ei%I eNos ., <br /> ❑ W 4:§g!iStntl ; sq/11%1;x:466 <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating din <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> ❑ No- Other Fans: Locations cfm <br /> FUEL STORAGE (Mast be approved by Fire Marshall ifproposing to abandon tank in place.) <br /> ❑ Installation 0 Removal <br /> Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill 0 Other/List What&Where: <br /> 9 <br />