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MECHANICAL SYSTEMS BEING INSTALLED <br /> Note: All Geothermal Systeins will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑ Yes �No <br /> HEATING SYSTEMS <br /> Quantity: I <br /> Make: r an t <br /> Model: 1�LSGy86$0517 <br /> Fuel: /lSp,�cJrc.� <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs: _ 7S,o o p <br /> CFM: /c�3 a <br /> COOLING SYSTEMS <br /> Quantity: I <br /> Make: [3,rYG.�fi <br /> Model: Q/113NA0�0 <br /> Tons: 2,.,� <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 �D cfm <br /> ❑ Na _� Bath Exhaust(must have duct outside) �� )11 O (,3) $G> 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:(, � � �j,�,..�L ,O�pry�,L�,� �P ('��lrK,if �t�/ <br /> 2 <br />