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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? ❑ YesNo <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: 15-7-1,e6 71,96 /o O <br /> Fuel: /7 i'7 <br /> Z• <br /> Size: <br /> Input BTUs: /O .) 3 o <br /> Output BTUs: 9A o a <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: r <br /> Make: G__ <br /> Model: /Z7 �✓�o yg <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 /> ee No. f' Kitchen Exhaust duct recirculating cfm <br /> No. y Bath Exhaust(must have duct outside) cfm <br /> yNo. L Other Fans: Locations 4"/2c7G.�- 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 />