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MECHANICAL SYSTEMS BEING INSTALLED <br /> Note: All Geotherinal Systems will now require a Site Plan & Review by our Building Official. <br /> [S THIS GEOTHERMAL? ❑ Yes ❑ No <br /> HEATING SYSTEMS <br /> Quantity: � <br /> Make: � ' <br /> Model: �� �S <br /> Fuel: �(`�- <br /> � �i <br /> Flue Size: <br /> Input BTUs: l�7�� <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 <br /> V ENTILATION <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 approverl by Fire Marsliall if proposirag to abandon tank in place.) <br /> � Installation � Removal <br /> Fuel Oil: gallons ❑ Underground � Inside � Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE OIVLY <br /> ❑ Outdoor Grill � Other/List What&Where: <br /> 2 <br />