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. � , <br /> MECHANICAL SYSTEMS BEING INSTALLED <br /> Note: All Geothcrmal Systems ��°ill no�r rcquire a Site Plan& Rc�ie��° b}� our Building Ofiicial. <br /> IS THIS GEOTHERMAL? ❑Yes [�No <br /> HEATING SYSTEMS <br /> �u�j����t, 1 <br /> M��:�: ��/�—c�— <br /> � <br /> Model: Z,. Q �Z�� _ <br /> Puel: A 1 <br /> Flue Size: /.� <br /> Input BTUs: �j�0�} _ <br /> output�Tus: '2� _ <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantitv: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Pow-er <br /> FIREPLACES <br /> � Cias Factory Fireplace I3rand Name: ���� _ <br /> ❑ Wood Buming Fireplace —� <br /> ❑ Wood Stove Model No.: �7.(p�—�� <br /> ❑ Wood Stove with Flue/Masonr� <br /> VEI�ITILATION <br /> ❑ Na Kitchen Fxhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must he approved by Fire Marshall if proposing to abandon tank in place.) <br /> ❑ Installation ❑ Kemoval <br /> Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside <br /> I,P Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />