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MECHANICAL SYSTEMS BEiNG INSTALLED <br /> Note: All Geothermal Systems will now require a Site Plan & Review by our Building Ofticial. <br /> IS THIS GEOTHERMAL? ❑ Yes ❑No <br /> HEATING SYSTEMS <br /> Quantity: _ 1 <br /> Make: C_c�c f� �r <br /> ModeL• ,S$ Sj/� (fj��-1�{ <br /> Fuel: � � <br /> Flue Size: <br /> Input BTUs: <br /> outpu� BTus: �� � y�a <br /> � <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> I�. 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 /> VEIVTII�ATION <br /> ❑ No. Kitchen Exhaust duct recirculating __ _cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> ❑ No. Other Far�s: Locations cfm <br /> FUEL STORACE (Must be approved hl� Fire Marshall if proposing to abandon tank in plaee.) <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: <br /> 2 <br />