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MECHANICAL SYSTEMS BEING INSTALLED <br /> Note: All Geothermal Systems will now require a Site Plan & Review by ow-Building Official. <br /> IS THIS GEOTHERMAL? ❑ Yes �No <br /> HEATING SYSTEMS <br /> Quantity: � <br /> Make: (j�� <br /> Model: 3����1(�Sd <br /> Fuel: � �,O <br /> Flue Size: <br /> Input BTUs: c�.1��1� <br /> Output BTUs: 1�;,(�� <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: ` <br /> Make: <br /> Model: ��Q�N�(�3(p <br /> Tons: 3 �� <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 /> VENTILAT[ON <br /> ❑ No. 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 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 LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: � �C_ ( <br /> 2 <br />