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MECHANICAL 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: �r y'-�*��� <br /> �7 r <br /> Model: � � 0�������J <br /> FueL �' k� <br /> •�iiQ�` <br /> Flue Size: <br /> Input BTUs: �}�UV <br /> Output BTUs: � 1��� <br /> CFM: � S �S <br /> COOLING SYSTEMS <br /> Quantity: � <br /> Make: �%-�)C,-� l <br /> Model: � �� 1,>+U� t��•� <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 cfin <br /> ❑ No. _� Bath Exhaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfm <br /> F`UEL STORAC E (Must be approved by Fire Marshal[iJproposing 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 />