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M�CNANICAL SYSTEMS BEING INSTALLED <br /> Note: All Geothermal Systems will now require a Site Plan & Review by our Building Ofticial. <br /> IS THIS GEOTHERMAL? ❑ Yes �No <br /> / �, <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: � � <br /> Model: �ilr0� lC��� l�Xv��L� <br /> Fuel: C�] <br /> Flue Size: <br /> Input BTUs: ���U�� <br /> Output BTUs: �1 � l�d <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: , <br /> Make: �� �1C1 x <br /> Model: I l"� C��J J�v <br /> Tons: J <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 /> ❑ Na _ 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 iJproposing to abandon tank in p[uce.) <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 />