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, { `.1VIECHANICAL;SYSTEMS$��Cr,°�NS'I"AI�LED. '� ° ` <br /> • Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑Yes �No <br /> HEATING SYSTEMS <br /> Quantity: / <br /> Make: �fC�i.UG'...- <br /> Model: �j�,��i�� <br /> ruel: �� ' <br /> . Flue Size: �'� <br /> Input BTUs: fiY✓a�� I <br /> Output BTUs: I' <br /> CFM: <br /> I <br /> COOLING SYSTEMS � <br /> Quantity: I <br /> Make: <br /> Model: <br /> Tons: <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 E�chaust duct recircutating cfm <br /> ❑ No. Bath E�aust(must have doct outside) cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FIIEL STORAGE (Must be approved by Fire Marshal!if proposing to abandon tank in place.) <br /> ❑ lnstailation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside <br /> LP Gas: galions <br /> Other. <br /> GAS LINE ONLY <br /> ❑ OuWoor Grill ❑ Othcr/List What&Whcrc: <br /> 2 <br />