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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 1K No <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: ‘4"" <br /> Model: qs'6 /844 06 Vol <br /> Fuel: Nst r Cos <br /> Flue Size: <br /> Input BTUs: h ©/ 0 0 D <br /> Output BTUs: /1 5 _lb& <br /> CFM: /335-. l5� <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: et(f ff„Ir <br /> Model: J T68/11A Ogg <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 /> El 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 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: <br /> 2 <br />