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� <br /> � <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 ❑No (1�-�'�� <br /> ���� <br /> HEATING SYSTEMS <br /> Quantity: / / � <br /> Make: �� • _ (' yy �* <br /> Model: "10�7/� Y,��J �oU/�(�� s�[�SD�g SUY�>�jD6 7" <br /> Fuel: _ r . (�'1't�,�, , <br /> �� �.� �►'�- /�A <br /> Flue Size: . <br /> Input BTUs: �UjJ� U�.� �/✓i- /�/� <br /> Output BTUs: Sg,�� ,� _ �/�'} Jl//q <br /> CFM: � O'ci� ��C� �U��(� <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <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 /> � Na Kitchen Exhaust_�duct recirculating/�CJ cfm <br /> �. No. � Bath Exhaust(must have duct outside) �U cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in p[ace.) <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: �"��r �C�t� ��� .�-. <br /> 2 /-���� , �a�- <br />