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R <br /> • MECHANICAL SYSTEMS BEING INSTALLEIB <br /> 1�ote: All Geothermal Systems will now require a Site Plan & Review by our Building Ofticiai. <br /> IS THiS GEOTHERMAL? ❑ Yes ❑■ 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 <br /> Valor <br /> � Gas Factory Fireplace Brand Name: <br /> ❑ _ __ <br /> Wood Burning Fircplace 7391RN <br /> ❑ Wood Stove Model No.: <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> ❑ Na Kitchen Gxhaust duct reciroulating _ cfm <br /> — — _- _ _ _ ____ <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (Mus7 be rrpproved by Frre Marshall ifproposing to abandon t�u2k in place.) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil_ gallons ❑ Underground ❑ lnsicle ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/Lfst What&Where: <br /> 2 <br />