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� <br /> MECHANICAL SYSTEMS BEING INSTALLED <br /> Note: All Geothermal Systems will now require a Site Plan& Review by our Building Ofticial. <br /> IS THIS GEOTHERMAL? ❑ Yes�No <br /> HEATING SYSTEMS <br /> Quantity: � <br /> Make: <br /> Moaei: �� ) 0 <br /> Fu��: r���}- C��� <br /> Flue Size: j �� PV G <br /> lnput I3TUs: b �U� <br /> ou�put s�,�s: �y,Q �'C� <br /> -, <br /> c��M: I� � <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> t 1. Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood Burning Firepiace <br /> ❑ Wood Stove Model No.: <br /> ❑ Wood Stove with Flue/Masoniy <br /> VENTILATION <br /> ❑ No. Kitchen Gxhaust duct recirculating cfm <br /> ❑ No. Bath Gxhaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be npprovec!by Fire Marshall if proposing to abnndon tnnk in place.) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Undcrground ❑ Inside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Gri(I ❑ Other/List What&Where: <br /> 2 <br />