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. '�IECHANICAL SY�TEMS BEING TNSTALLEa <br /> , <br /> Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official. <br /> IS TH�S 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 /> COOWNG SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H. Power <br /> FIREPLACES <br /> � Gas Factory Fireplace��� Brand Name: HEAT& GLO <br /> ❑ Wood Burning Fireplace <br /> � Wood Stove Model No.: CERONA-42/SL-75� <br /> ❑ Wood Stove With Flue � �L-•����_� <br /> VENTILATION <br /> ❑ Na Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfin <br /> FUEL STORAGE (Mus1 be approved by Fire Marshall ifproposing to abandon tank in place.) <br /> � Installation � Removal <br /> Fuel Oil: gallons ❑ Underground � [nside � Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LIIYE ONLY <br /> ❑ Outdoor Grill � Other/List What&Where: <br /> 2 <br />