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MECHANICAL 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 /> Om ri-e/y <br /> Make: {{��, <br /> Model: UV tnz <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: Q�v✓ <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 Exhaust duct recirculating cfm <br /> No. Bath Exhaust(must have duct outside) cl'm <br /> No. Other Fans: Locations c1m <br /> FUEL STORAGE (Must be approved by Fire Marshall ff proposing to abandon tank in place.) <br /> ❑ Installation ❑ 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 />