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MECHANICAL SYSTEMS BEING INSTALLED <br /> Note: All Geothermal Systems ���ill now require a Site Plan & Review by our Building Ofticial. <br /> IS THIS GEOTHERMAL? ❑ Yes �No <br /> HEATING Sl'STEMS <br /> Quantity: � <br /> T _ <br /> N1ake: �����'� <br /> ;�1ode1: � � ���k(,'�jG�� --- - -- <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs: <br /> CFM: <br /> COOLING Sl"STEMS <br /> Quantity: � <br /> Make: �,l�l I�l� �---- <br /> Model: ly�W_��j�) <br /> Tons: ��� _ __ <br /> H. Power <br /> FtREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> -- - ------- <br /> ❑ �'ood Burnine Fireplace <br /> ❑ Wood Stove Model No.: <br /> -- _-- ---- - <br /> �Vood Stove with Flue i Masonry <br /> VENTtLAT10N <br /> ❑ No. Kitchen Exhaust duct recirculatii��, ctni <br /> ❑ No. _ Bath Exhaust(must have duct outside) cfi�i <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be npproved hti�Fire Mnrshnl/if proposfng!o abnndo�t trr�7k in pl�rce) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: __ gallons ❑ lJnderground ❑ Inside ❑ Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List W'hat& Where: <br /> 2 <br />