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. M�CHA.I�TC.A�.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 /> �� ,,s�/ <br /> HEATING SYSTEMS ���1���� ��i`���� <br /> � � <br /> Quantity: _ <br /> Make: `�l", )�'' l� f,�t,�'1 �~ <br /> ,�_ <br /> ModeI: G������ � ) ���. <br /> Fuel: �%;t�it!��. �'�{ .�r <br /> Flue Size: �� i�'��� � <br /> Input BTUs: �`� ��`, '���"' <br /> Output BTUs: ��,�����"� <br /> CFM: �'�; ICn,,� <br /> �.Ji,,.��,_ <br /> COOLING SYS"CEMS `r�f;�-"�� " <br /> � <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 wich Flue/Masonry <br /> VENTILATION <br /> ❑ No. Kitclien Exhaust duct recirculating cfin <br /> ❑ No. Bath Exhaust{must have duct outside) cfin <br /> ❑ No. Other Pans: Locations cfm <br /> FUEL STORAGE (Must be apprnved by Fire Marshall if proposing to abandon tank in place.) <br /> ❑ Installarion ❑ Removal <br /> Fuel Oil: gallons ❑ Uoderground ❑lnside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />