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� MECHANICAL SYSTEMS BEING INSTALLED <br /> � Note: All Geothermal Systems will ilow require a Site Plan& Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑ Yes �Io <br /> HEATING SYSTEMS <br /> Quantity: I <br /> , <br /> Make: �� , \�' <br /> ModeL "4� I`� `Q��b'vv ���V1� ' �.,. <br /> FueL ���� <br /> Flue Size: <br /> Input BTUs: ����0 <br /> Output BTUs: I U v v <br /> CFM: <br /> COOLING S�'STEMS <br /> Quantity: � <br /> Make: �V�� � ��� <br /> Model: <br /> Tons: J� ' � <br /> H. Power <br /> FIREPLACES <br /> Gas Factory Fireplace Brand Name: ���� <br /> � Wood Burning Fireplace �, ., t ' <br /> ❑ Wood Stove Model No.: � � � (�� �1'�.�� <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATIO'�' <br /> �. No. Kitchen Exhaust�_duct � recirculating ../v U cfm <br /> No. � Bath Exhaust(must have duct outside) �cfin <br /> � No. Other Fans: Locations cfm <br /> FLTEL STORAGE (Must be approve�l by Fire Mars/anll if proposing to abandon tnnk in p/nce.) <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�.�l ��iV�,� 1`l�{� • � � ��(f`(,(., <br /> 2 C'Z�D �,,Y�.� f� �h r�p1��. <br /> C�� 1�� +� L �-.�►�(�I�;c� <br /> L�� i,�e ��C�r�e� � �c�.�'�3�. <br />