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i . <br /> , <br /> . �. <br /> ' NfECHANICAL SYSTEMS BEING INSTALLED ' <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: "T1C��y���Ll�' J <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: 'O � <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: 1 <br /> Make: <br /> Model: � I�V 1 <br /> Tons: —__�CL�..�_ <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) cfin <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 L1NE ONLY <br /> ❑ Outdoor Grill Other/List What&Where:_����r � <br /> 2 <br />