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MEC'�LgNICA,L 5�'YSTEMS BEING INSTaI..LED ,' �"' _ '� <br /> \ote: All Gcotlicizrial Systciris will ri�ti�rccjuire a S1te Pl�ui c�Review by oiu Buildiri�O��iclal. <br /> IS THIS GEOTHERNIAL? ❑Yes [No <br /> HEATING SYSTElYi5 <br /> Quantity: (�-;�'v`�- <br /> Make: K-t �;;"� <br /> ModeL ����� 7 <br /> Fuel: � ;-1`� <br /> Fhte Size: <br /> Ii�put BTUs: <br /> Output BTUs: �'i�L�[__`'�-�,.; <br /> CF�i: <br /> COOLING SYSTEMS <br /> puantity: <br /> Make: <br /> Iviodel: <br /> Tons: <br /> H.Pow�er <br /> FIREPLACES <br /> ❑ Gas Factoiy Fireplace Brand Nam�: <br /> ❑ Wood Biuning Fi�•epl�c� <br /> ❑ V1r'ood Sto�-e Model No.: <br /> ❑ Wood Stove with Flue/Masoiuv <br /> VENTILaTION <br /> ❑ ItiFo. Kitehen E�aust duct recirculaking cfin <br /> ❑ No. Bath Exhaust(m��st have duct oiitside) cfm <br /> ❑ I�o. Other Fans: Locaiions cfin <br /> FtiEL STORAGE (�'�lcist Ge npproved by Fire Mnrshall ifpsoposing to abandon tank i�t�Lnce.) <br /> ❑ Ii�.stallation ❑ Removal <br /> Fuel Oil: sallons ❑ Undergrowid ❑ Inside ❑C?utside <br /> LP Gas: gallons <br /> Otlier: <br /> GAS LI1`E O:�'LY <br /> ❑ Outcioor Grill ❑ C�ther/List\V1iat&��here: <br /> 2 <br />