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MBCHANIC11L SY$TL�M&Bk NCj WT'':1A.' <br /> Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑Yes �,No <br /> HEATING SYSTEMS <br /> Quantity: l I <br /> Make: 'l (�-Ta.C-CoB`J 1%r�c.rc� <br /> Model: �-� ! c qg(o1L`{)-OgJ <br /> Fuel: ' <br /> Flue Size: <br /> Input BTUs: FSL),fJo <br /> Output BTUs: .7$COU T& U <br /> CFM: Anuy 1�OU <br /> COOLING SYSTEMS <br /> Quantity: I / <br /> Make: C « <br /> Model: ����G <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 /> E. No. Kitchen Exhaust ✓ duct recirculating jU cfm <br /> No. 9 Bath Exhaust(must have duct outside) 5�Q cfin <br /> ❑ No. Other Fans: Locations cfin <br /> FUEL STORAGE (Must be approved by Fire Marshall if 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: 3-�f�Re , .-0,A$ /�" rep(a�L <br /> 2 0 - GAJ 0-( 2 r <br />