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MECHANICAL SYSTEMS BE1NG INSTALLED <br /> Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑ Yes [�No <br /> HEATING SYSTEMS <br /> Quantity: � <br /> Make: ✓' %�1� <br /> Model: I D 1M:�t���� <br /> Fuel: <br /> Flue Size: <br /> Input B'TLTs: I�a���i� <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: I <br /> Make: �'� �1V�1 <br /> Model: �D 6 NV��O� <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/Masonry <br /> VENTILATION <br /> ❑ Na Kitchen Eachaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfin <br /> ❑ No. Other Fans: Locations cfm <br /> FLJEL STORAGE (Must be approved by Fire Marshall fproposing to abandon tank 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 />