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04-11—'18 10:52 FROM— (?� T-777 PO002/0004 F-253 <br /> : 5 7F7 �a1 <br /> ' io Err,,n.Y:'TcC �l' r `�r'� P`,`,{ti I0 ''� ��r.�'�.c-'F"" I ✓� 'w k, <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 /> FIREPLACES /,«S LAA-0--S <br /> Gas Factory Fireplace Brand Name: Mti <br /> � <br /> ❑ Wood Burning Fireplace <br /> Elt p p� � "[(� <br /> Wood Stove Model No.: <br /> El Wood Stove with Flue/Masonry <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 ❑Inside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />