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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 /> HEATING SYSTEMS <br /> Quantity: ` <br /> Make: �,u,,f.c;..���c. <br /> C91' � ��aj ,� <br /> Model: <br /> Fuel: ,��% �.�� 6�:-S <br /> Flue Size: �� <br /> Input BTUs: �� �� _n <, <br /> Output BTUs: �� , � � �a <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: � <br /> Make: �,�-..�c._r-L <br /> Modei: T'L(��j <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 /> r� <br /> ❑ No. _� Kitchen Exhaust � duct recirculating � �-�� cfin <br /> ❑ No. �_ Bath E�aust(must have duct outside) ra,, cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORACE (Must be approved by Fire Marshall 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 /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What& Where: <br /> 2 <br />