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.;MECHAN�CAL S�STEMS BE�`N�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 BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: ( <br /> Make: <br /> Model: �s e.�� <br /> Tons: <br /> H.Power �_ <br /> FIItEPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood Butning Fireplace <br /> � Wood Stove Model No.: <br /> • ❑ Wood Stove With Flue <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must ha�e duct outside) cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fire Marshall if proposing 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 � Uther/List What b�Where: <br /> 2 <br />