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� � MECHANICAL SYSTEMS BEING 1NSTALLED <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: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: <br /> Output B1'iJs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> ( Gas Factory Fireplace Brand Name: �'���}n �( D <br /> Wood Burning Fireplace <br /> Wood Stove Model No.: �S ca n e ��5' ��. <br /> Wood Stove With Flue �— <br /> VENTILATION <br /> Na Kitchen E�chaust duct recirculating cfin <br /> No. Bath Eachaust(must have duct outside) cfin <br /> No. Other Fans: Locations cfin <br /> FUEL STORAGE (Must be approved by Fire Marshal[if proposing to abandon tank in place.) <br /> � Installation � Removal <br /> Fuel Oil: gallons ❑ Undergound ❑ Inside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> � Outdoor Gril( � Other/List What&Where: <br /> 2 <br />