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MECHANICAL SYSTEMS BEING INSTALL�D � � • <br /> Note: All Geothennal Systems will now req re a Site Plan& Review by our Building Official. <br /> IS THIS GEOTIIERMAL? ❑ Yes No <br /> HEATING SYSTEMS <br /> Quantiry: <br /> Make: <br /> ModeL <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs: <br /> CFM: <br /> COOLiNG SY'STF,MS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H. Power <br /> FIREPLACES ,'n�� U�� <br /> d❑ Gas Factory Fireplace . � �and Name: �.�-1►"10/1T `j/'� <br /> Wood Burning Fireplace i!'15�e-� Q S <br /> ❑ Wood Stove Model No.: �T�(�/�] <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> ❑ Na Kitchen Exhaust duct recirculating cfin <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (Marst be approved Gy Fire Marsknll ijproposirzg to rrGait�ton tnitk i�t p[nce.) <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 />