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t � ' <br /> MECHANICAL SYSTEMS BEING INSTALLED <br /> Note: All Geothennal Systems will now require a Site Plan& Review by our Building Official. <br /> IS THIS GEOTHERMAL? � Yes � No <br /> HEATING SYSTEMS <br /> Quantiry: <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: �'�,'�- �� ` ��(r� <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove Model No.: ��„��� � <br /> ❑ Wood Stove With Flue <br /> VENTILATION <br /> � Na Kitchen Exhaust duct 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 MARSHALL) <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 />