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� � � � MECHANICAL:SYSTEMS BEING�I�ISTALLED � � <br /> Note: All Geothcrmal Systems will now require a Site Plan&Rcvicw by our Building Official. <br /> IS THIS GEOTHERMAL? ❑ Yes �No <br /> HEATING SYSTEMS <br /> Quantity: � <br /> Make: �.,�P��Ve R i Te <br /> Model: Q2— D.Soc�,CrIS <br /> Fuel: N��al G-as <br /> Flue Size: N/A <br /> Input BTUs: 305 , Z17 <br /> oucpUc BTuS: 3 0 5� Li� <br /> CFM: Z�(�,00 <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 <br /> VENTILATION <br /> dNo. _� Kitchen Exhaust duct recirculating �$00 cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> [� No. �_ OtherFans: Locations d;�� �,,,,as�er- ex�'x.4s} op cfm <br /> `�H Ec..��c.�e� <br /> FUEL STORAGE (Must be approved by Fire Marshall if proposing to abando�t tank in place.) <br /> � Installation � Removal <br /> Fuel Oil: gallons ❑ Underground a Inside �Outsidc <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill � Other/List What&Where: M al�e v,p q� v,+�;�- o h ro�'� <br /> 2 <br />