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' '1. <br /> � <br /> ` J!VIECHANICAL SYSTEMS BEING INST�LED . <br /> Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS TffiS GEOTHERMAL? ❑Yes ❑No <br /> HEATING SYSTEMS <br /> Q�rity: <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> Input BTCTs: <br /> Output BTCJs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quanrity: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> � Gas Factory Fireplace Brand Name: �+G�T� �+(� <br /> Wood Burning Fireplace <br /> ❑ Wood Stove Model No.: p�►�O M r.—� j✓I D I� <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> ❑ No. Kitchen E�chaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfin <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 />