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, 12/16/2014 09:10 9524927729 ZAHLER HEATING & A/C PAGE 03 <br /> Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. <br /> IS THIS GEOTHERMAL? 0 Yes *lo <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Sim: <br /> Input BTUs: <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACM <br /> o Gas Factory Fireplace Brand Name: <br /> ▪ Wood Burning Fireplace <br /> o Wood Stove Model No.. <br /> O Wood Stove with Flue/Masonry <br /> VENTILATION <br /> No. _L. <br /> Kitchen Exhaust )< duct recirculating 600 cfm <br /> L_1 No. Bath Exhaust(must have duct outside) cfm <br /> • No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fire Marshall 4f proposing to abandon tank in place.) <br /> D Installation 0 Removal <br /> Fuel Oil: gallons El Underground D Inside Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> • Outdoor Grill Other/List What&Where: CohifeeCkeiwVOIAnye <br /> 2 V‘ ArAn.CACI <br />