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MECHANICAL SYSTEMS BEING INSTALLED <br /> , � <br /> ��� Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official. <br /> � <br /> IS THIS GEOTHERMAL? ❑ Yes ❑No <br /> H�ATING SYSTEMS <br /> "Quafitity: <br /> Make: <br /> , � <br /> Model: � <br /> Fuel: ti+R � <br /> � <br /> --� <br /> ,. • � <br /> Flue Size: � ..� , <br /> Input BTUs: � - ��� <br /> Output BTUs: � . " 'a <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <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 <br /> ❑ No. Bath E�aust(must have ducao tside) recirculating �� <br /> ❑ No. Other Fans: Locations cfm <br /> cfm <br /> FUEL STORAGE (Must be approved by Ffre Marshall if proposing to abandon tank in place.) I <br /> ❑ Installation ❑ Removal <br /> FuelOil: gallons <br /> LP Gas: ❑ Underground ❑Inside ❑Outside <br /> gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What& Where: <br /> 2 <br /> � <br />