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, <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 <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H. Power <br /> F[REPLACES <br /> � Gas Factory Fireplace Brand Name: };et� �.[� (o <br /> Wood Burning Fireplace S 3� `� <br /> Wood Stove Model No.: �SGa�t <br /> Wood Stove With Flue <br /> VENTILATION <br /> No. Kitchen Eachaust duct recirculating cfin <br /> No. Bath Exhaust(must have duct outside) cfrn <br /> No. Other Fans: Locations cfrn <br /> FiTEL 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 />