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9 g331 9 15:24:57 10-07-2015 3!4 <br /> * i� <br /> MEGHANICAL SYSTEIvTS BETNG INSTALLED <br /> I Note:AlI Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> I IS THIS GEOTHERMAL? ❑Yes,�'No <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> I <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/Masonry <br /> VENTILATION <br /> No. Kitchen Exhausi duct recirculatin� cfm <br /> ❑ b <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locatio�s cfm <br /> FUEL STORAGE (�tilust be upproved by Fire Marslrall if proposnrg to abai:do►r ta�rk in pluce.) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside <br /> � LP Gas: gallons <br /> Other: <br /> • ._.r'�M., ;... <br /> GAS LINE ONLY �Gi`� (��)L. �Z� ���.._) K'_�C�l:K Y� <br /> ' ❑ Outdoor Grill � Other/List What&Where: f <br /> I f <br /> -�z� ~L��"�z.ti-c:�.fiU� . <br /> I 2 <br /> I <br /> � <br /> � <br /> i <br />