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i <br /> MECHANIGAL SYSTEMS BE1NG INSTALLED � <br /> iVotc:Al! Geothermal Systems will now require a Site Plan�Re�-iew by our Building Officiai. � <br /> � <br /> IS I'HIS GF.OTHF.RMAL? ❑Yes �No i <br /> HEATIIYC SV'STEMS � <br /> � <br /> Quantity: � 1 <br /> ILiake: �G- �?�� -- I <br /> I�fodel: S���� ---- — - -- - --- <br /> Puel: �1 � <br /> ---- � <br /> O�' <br /> Flue Size: G <br /> Input BTUs: �`%��� _ __ <br /> �-- --- -- -- <br /> Output BTUs: ZS�� !. I <br /> CFM: I <br /> COOLING SYSTEMS <br /> i <br /> Quantiry: —_.._ � <br /> � <br /> Make: <br /> i <br /> 1Liodei: <br /> Tons: I <br /> � I <br /> [-T.Power I <br /> FIREPLaCES <br /> � ` ��� <br /> � Gas Factory Fireplace Brand Nan�e: (�"�� �_ _ <br /> ,r] Wood Buming Fireplace <br /> ❑ wood Stove i�todel No.: S L.��U <br /> ❑ Wood Stove with Flue;Masonry � <br /> VE1VTiLATTON � <br /> � <br /> ❑ No. Kitchen Exhaus[ duc� recirculatin� cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfm ( <br /> ❑ ;Va Other Fans: Locations cfin <br /> FUE L STORAGE (l�tust he approved by Fire Mursizal!if proposing to abandnn tank in place.) <br /> ❑ [nstallation ❑ Removal � <br /> I <br /> Fuel Oil: gtllons ❑ Underground ❑Inside ❑Outside I <br /> LP Gas: gallons ' <br /> Other: <br /> � <br /> GAS LINE ONLY � <br /> ❑ Outdoor Ccrill ❑ Other/List�Vhat&Where: <br /> � <br /> __._-- - - - - I <br /> Z I <br /> Z d ��gZ-gg�-�gg oqon_i}suo��uo}sn��a}�e� <br />