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MECHANICAL SYSTEMS BEING INSTALLED <br /> Note: All Geothermal Systems will now require a Site Plan& Review by our Building Ofticial. <br /> IS THIS GEOTHERMAL? ❑ Yes ❑ No <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H. Power <br /> FIREPLACES <br /> � Gas Factory Fireplace Brand Name: <br /> Wood Burning Fireplace <br /> ❑ Wood Stove Model No.: � �K—' �3 <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> ❑ Na Kitchen Exhaust duet 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 Marsha!!if proposing to abandon tank in p[ace.) <br /> ❑ Installation ❑ Removal <br /> Fuel OiL• gallons ❑ Underground ❑ Inside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> CAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />