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, <br /> MECI-IANICAL SYSTEMS BEING 1NSTALLED <br /> Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official. , <br /> IS THIS GEOTHERMAL? ❑ Ye 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 ��� � C�S S �— � � ���r^,1c,r/1'f� <br /> 0 Gas Factory Fireplace Brand Name: " <br /> ❑ Wood Buming Fireplace <br /> ❑ Wood Stove Model No.: <br /> ❑ W d tove wi Flue/Masonry � <br /> �°���' .� �-�.��� � ����-wry <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath E�ct�aust(must have duct outside) cfin <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fire Marshal/if proposing to abandon tank in place.) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS L1NE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What& Where: <br /> 2 <br />