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r <br /> 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 140 <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: y� _�� <br /> Model: a,L`7/07U� �/M <br /> Fuel: 6 <br /> Flue Size: <br /> Input BTUs: 43 1( <br /> Output BTUs: 6W <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: / <br /> Make: 4:enti 0 yC <br /> Model: V/q412?1/ <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove Model No.: <br /> 0 Wood Stove with Flue/Masonry <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> 0 No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place) <br /> ❑ Installation 0 Removal <br /> Fuel Oil: gallons 0 Underground 0 Inside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />