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, MECHANICAL SYSTEMS BEING IN5TALLED <br /> Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑Yes 0 No <br /> HEATING SYSTEMS <br /> Quantity: � l��i t�r9iat %�t/ i/D�'n /�Cf1'Ti2��j <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs: <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 <br /> VENTILATION <br /> ❑ No. Kitchen E�chaust duct recirculating cfm <br /> �❑ No. Bath Exhaust(must have duct outside) cfm <br /> No. Other Fans: Locations cfin <br /> FiTEL STORAGE (Must be approved by Fire MarshaU ifproposing to abandon tank in place.) <br /> ❑ Installation a 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 />