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., <br /> "' MECHANICAL SYSTEMS BEING INSTALLED <br /> Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑ Yes ❑No <br /> HEATINC 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 /> � <br /> �� ,� Gas Factory Fireplace Brand Name: ���c� �'\ (9�� 5 <br /> Wood Burning Fireplace <br /> Wood Stove Model No.: ��- (,�Cn� C.� <br /> Wood Stove with Flue/Masonry <br /> VENTILATION <br /> No. Kitchen Exhaust duct recirculating cfm <br /> No. Bath E�chaust(must have duct outside) cfm <br /> No. Other Fans: Locations cfin <br /> FUEL STORAGE (Must be approved by Fire Marshall iJproposing to abandon tank in place.) <br /> � Installation � Removal <br /> Fuel Oil: gallons ❑ Underground�InsideQ Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> � Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />