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't . <br /> ?.i. „.:::::1VjECHANICALSYSItNIS BEING INST:A EI3 <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: <br /> Tons: <br /> H. Power <br /> FIREPLACES <br /> W 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) <br /> ❑ No. Other Fans: Locations cfm <br /> cfm <br /> FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons <br /> LP Gas: ❑ Underground ❑ Inside Outside <br /> gallons � <br /> Other: <br /> GAS LINE ONLY Ga.ot trek '( Dthious, ,i.i.n..eick4) <br /> ,V" Outdoor Grill J Other/List What&Where: I l <br /> 2 { <br />