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, 9529a31 869 14 07 16 08-1 4-2015 3/4 <br /> MECHANICAL SYSTEMS BEING iNSTALLBD <br /> Note:All Geothem�al Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHEI2MAL? ❑Yes [�No <br /> 1lEA"TtNG SYSTEMS <br /> Quantity: � ___ <br /> Make: Q��S�_ <br /> Model: ������+55_.... <br /> Puel: �S <br /> Flue Size: <br /> Input BTUs: y�.� ___ <br /> Output BTtis: _ <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: -- <br /> Make: <br /> Model: <br /> Tons: <br /> f I.Power <br /> FIRGPLACES <br /> L� C'ias Factory Fireplace Brand Name: �ET�RSON _ <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove Model No.: �ys��Q�-SS <br /> ❑ Wood Stove witl�Flue/Masonry <br /> VENTILATIOIV <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 approved by Fire Marshull tf propnsing to aba�rdon ta»k ti:pluce.) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: _gailons ❑ Underground ❑Inside ❑Outside <br /> LP Gas: gallons <br /> pther. <br /> GAS LINE ONLY <br /> ❑ Outdoor Grili ❑ Other/List What&Whcre: <br /> 2 <br />