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r ' <br /> l <br /> MECHAlvICAL SYSTEMS BE1NG INSTALLED <br /> Note: All Geothermal Systems will now.require a Site Plan& Review by our Building Official. <br /> IS THIS GEOTHERMAL'� ❑ Yes No <br /> ��) � HEAT[NG SYSTEMS V,'-�� � ���M�_� �-a �� � �j <br /> ��— Quantity: ���1�� �� U�,1�1��'�'.� � �-N 1`l��' <br /> ���;� Make: <br /> ����/ Model: J 1 `J ��� �'I � � GI c�o� S�� � �0 U�� I <br /> �� Fuel: �...)(J�,1 N(JJ� <br /> � �G�C�Q�1'lh <br /> Flue Size: <br /> Input BTUs: � l� � `��5 � �c ' � <br /> � <br /> Output BTUs: � <br /> `�� <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: � I ' <br /> Make: ' r � . ls..��r���i" ��-�''� ��.Y <br /> Model: V � (� �lr r'��.t 1�1 I�Lj � <br /> Tons: , , � <br /> H.Power � � �i'e.1�' � � �-e�1� � � ��j� <br /> FIREPLACES <br /> Jas 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) cfm <br /> � No. �_ Other Fans: Locations /V1(J�CQ v�Q C7�,1,/' ��cfm <br /> FUEL STORAGE (.M1lust be approved hy Fire Marshal!if proposing to abandon tank in place.) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside <br /> LP Gas: gallons , <br /> Other: �jC�L�.S �� nt'���'U ��� ✓lA_C�5 <br /> cJ <br /> 3 s ii ✓��s � Firc pla��s <br /> GAS LINE ONLY <br /> G��.�, ii �f. �1.��'v�Cc.t_t �e�x,.�c�- h�a�r <br /> ❑ Outdoor Grill � Other/List What&Where: �U.`� lj✓1� 7 C��k� <br /> 2 �u-� �l V�e '�, 17�v' <br /> (�c�--� 1i v�-� � I..�u�1-c✓ <br />