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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 o <br /> HEATING SYSTE <br /> Quantity: <br /> IW <br /> fiAMIW <br /> Model: L M/ <br /> Fuel: �t" 14,r <br /> Flue Size: A <br /> m ; =o° <br /> Input BTUs: <br /> Output BTUs: <br /> CFM: <95D <br /> COOLING SYSTE S <br /> L /Quantity: <br /> Make: b11111 <br /> Model: , r t�/ <br /> Tons: --t <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) 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 8 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 />