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G 12-21-2016 16:14 Fax Services a 19522494616 0 3 <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 /> 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 <br /> l] Gas Factory Fireplace Brand Name: V-\Q(j, <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove Model No.: �c <br /> ❑ 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 0 Removal <br /> Fuel Oil: gallons 0 Underground 0 Inside 0 Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />