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. � <br /> MECHATiICAL SYSTEMS BEING INSTALLED <br /> Note: All Geothennal Systems will now r�re a Site Plan& Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑ Yes No <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> Input B'TUs: _ <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> �I.Power <br /> FIREPLACES �2 <br /> � Gas Factory Fireplace X+Z f3rand Name: �111-C� <br /> ❑ Wood Buming Fireplace <br /> ❑ Wood Stove Model No.: �QO������ <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath F.xhaust(must have duct outside) cYm <br /> ❑ No. Other Pans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fire Marshall if proposing to ahm:don tar:k 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 />