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� <br /> � � <br /> MECHANICAL SYSTEMS BEING INSTALLED . <br /> Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THI5 GEOTHERMAL? ❑ Yes ❑No <br /> HEATING SYSTEMS <br /> Quantity: � <br /> Make: �Op� vnc�N <br /> Model: � ,-,/� a,�v c/l w' <br /> Fuel: <br /> Flue Size: �� <br /> Input BTUs: Y <br /> Output BTUs: � <br /> CFM: '� <br /> COOLING SYSTEMS <br /> Quantity: � <br /> Make: [�c�o�'/tM c� <br /> Model: (�SX'�3 O 3d <br /> Tons: eZ.�,2 <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 /> ❑ No. Kitchen Exhaust duct recirculating cfin <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfin <br /> FUEL STORAGE (Must be approved by Fire Marshall ijproposing to abandon tank in place.) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: ' gallons ❑ Underground ❑ Inside ❑ Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />