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MECHANICAL SYSTEMS BEING INSTALLED � ��" <br /> �� �»� <br /> Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑ Yes 0 No <br /> HEATING SYSTEMS <br /> Quantity: <br /> � �,-- —" <br /> Make: /��' I -�- <br /> . -, <br /> r- -- <br /> Model: j � J�% <br /> Fuel: f� .l, �:�-, <br /> ..� , t <br /> Flue Size: , ) <br /> Input BTUs: ' `� ����� <br /> t � `�'� <br /> DUtpUt BTUS: ° = � ~����`� <br /> CFM: � J����� � <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H. Power <br /> FIItEPLACES <br /> � Gas Factory Fireplace �r Brand Name: <br /> ❑ Wood Buming Fireplace <br /> � Wood Stove Mode]No.: <br /> ❑ Wood Stove With Flue <br /> VENTILATION <br /> ,� No. � Kitchen Exhaust 's r''��%��i::,` duct recirculating 'Cr ��� cfin <br /> �. No. �_ Bath Eachaust(must have duct outside) �cfrn <br /> ❑ No. �_ OtherFans: Locations f-,�.; r`; �`c'� cfin <br /> FiJEL 5TORAGE (Must be approved by Fire Marshall if proposing to abandon tank in plac�) <br /> ❑ Installation a 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: Generator � -�,�;;,,� - ,``;�f, , �' <br /> 2 <br />