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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 /> 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 /> � r!\� <br /> No. � Kitchen Exhaust duct recirculating , � ��' cfm <br /> No. Bath E�aust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfm <br /> Fti EL STORAGE (Must be approved by Fire Mnrshall if proposing to abnndon tank in place.) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> . � � �� � � <br /> ❑ Outdoor Grill Other/List What&Where: � (� <br /> � <br /> 2 ��t,�v ��� �-� � .-�.;�l a_� <br />