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ti . <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 �J No <br /> � � <br /> HEATING SYSTEMS <br /> Quantity: 1 <br /> Make: Y � �� <br /> Model: ��f� �j �,���ld <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: <br /> Output B i Us: � <br /> CFM: <br /> COOLiNG SYSTEMS <br /> Quantity: � <br /> Make: { -T l U <br /> Model: ��C�31��3�p _ <br /> Tons: <br /> H. Power _ <br /> FIREP�,ACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove Model No.: <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> No. � Kitchen Exhaust � duct recirculating cfm <br /> No. �_ Bath Exhaust(must have duct outside) cfm <br /> No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fire Mm�shall if proposing to aban�lon tank in place.) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Undergrc�und ❑ Inside ❑ Outside <br /> LP Gas: _ gallons <br /> Othcr: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill � Other/List What&Where: �"L�' Z X '�"��/Z f��(,l.�Q i 1����� ' ���'�1�' <br /> � T <br /> 2 ��� <br />