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MECHArTICAL SYSTEMS EEING INSTALLED <br /> Note:All Geothermal Systems will no require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑Yes No <br /> HEATING SYSTEMS <br /> Quantity: / <br /> Make: ���Q UT�� <br /> Model: � J � <br /> Fuel: � <br /> �// <br /> Flue Size: <br /> Input BTLJs: �Od� <br /> Output BT'Us: C,Y�/�� <br /> CFM: / j <br /> COOLING SYSTEMS <br /> Quantity: � l�j@�- <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES � <br /> ❑ G�actory Fireplace Brand Name: <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove Model No.: <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> ❑ No. � Kitchen E�chaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfin <br /> ❑ No. Other Fans: Locations cfin <br /> FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) <br /> ❑ Installation ❑ Removal <br /> Fuel gallons ❑ Underground ❑Inside ❑Outside <br /> LP G . gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill �f Other/List What&Where:��Jlrv�¢ <br /> 2 <br />