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. ,1 <br /> MECHANICAL SYSTEMS BE1NG INSTALLED � <br /> Note: All Geothermal Systems will now require a Site Plan & Review by our Building O�cial. <br /> IS THIS GEOTHERMAL? ❑ Yes [�'�to <br /> HEATING SYSTEMS <br /> Quantity: ( <br /> Make: �`�n� <br /> Model: �l�.%��Q��� ��v� <br /> Fuel: /(�1�� � �-t�{�j <br /> �� <br /> Flue Size: � <br /> lnput BTUs: � ��C3U <br /> Output BTUs: 7 2� �� <br /> CFM: � /2l��J <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.: <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath E�aust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved b�� Fire Marshal!if proposing to abandon tank in place.) <br /> ❑ Installation ❑ Remova] <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 />