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. � <br /> � ' 1 <br /> MECHANICAL SYSTEMS BEING 1NSTALLED <br /> Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑ Yes�No <br /> HEATTNG SYSTEMS <br /> Quantity: l ! <br /> Make: p(' � �f� <br /> Model: �I�(�TPjd�c tUU 9�;T�.y�a�a <br /> Fuel: C, �(i �� / � �� <br /> �/� �, �, <br /> Flue Size: <br /> Input BTUs: /�C���� ��C�C�(J �5,('UC� <br /> Output BTUs: 1�v,U(JC7 f/�, (:�>(;7 `7�S���n <br /> CFM: ��G��� �(i�C� � <br /> COOLING SYSTEMS <br /> Quantity: l � <br /> Make: � ����/�I�(���� ���/7��CJ� <br /> Model: � ��� Ct✓l rJ �UG(►'1 l <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 Flue/Masonry <br /> VENTILATION <br /> � No. � Kitchen Exhaust�duct recirculating (�' cfm <br /> � No. �� Bath Exhaust(must have duct outside) �Q 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:��T�Q�{����'-�`�'L���G�Z� <br /> �rC�vti�-E' ; �1✓�..r�-�e�'IN <br /> 2 <br />