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4 <br /> r MECHANICAL SYSTEMS BEING INSTALLED <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: <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 /> FI REPLACES <br /> ( Gas Factory Fireplace Brand Name: M�c.� ,., � �o <br /> Wood Burning Fireplace <br /> Wood Stove Model No.: E c�.p� Z 3 U �� _ <br /> Wood Stove With Flue <br /> VENTILATION <br /> No. Kitchen E�chaust duct recirculating cfm <br /> No. Bath Exhaust(must have duct outside) cfm <br /> No. Other Fans: Locations cfin <br /> FUEL STORAGE (Must be npproved 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: <br /> 2 <br />