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1 � <br /> WCHANICAL SYSTEMS BEING INSTALLED <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: nn <br /> Fuel: <br /> Flue Size: �J <br /> Input BTUs: <yyy© <br /> Output BTUs: d J <br /> CFM: DU <br /> COOLING SYSTEMS <br /> Quantity: 1 <br /> Make: e,04lZ144 '- <br /> Model: 3-6 <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 Exhaust duct recirculating cfm <br /> No. Bath Exhaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations_ // _/ cfm <br /> FUEL STORAGE (Must be approved by ire Marshall if proposing to abandon tank in place) <br /> ❑ Installation ❑ Removal <br /> fV <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 />