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• <br /> Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? Yes 0 No <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: I _, <br /> Output BTUS: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <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!lue/Masonry <br /> VENTILATION <br /> k7j;(NU SkQol ,e.51 0.24.,krn.a a - c.�%ct-���- LOS <br /> ❑ No. Kit hen Exhaust duct recirculating cfm <br /> ❑ No. B Exhaust(must have duct outside) cfm <br /> [2 No. — Oth r Fans: Locations pryr 1)etv5A- cfm <br /> FUEL STORAGE (Must be appro ed by Fire Marshall if proposing to abandon tank in place.) <br /> ❑ Installation Removal <br /> Fuel Oil: gallons ❑ Underground 0 Inside 0 Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill Other/List What&Where: CiC1 c , �,.Q c„ e r . <br /> 2 <br />