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, <br /> 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: CC�-f r� �(' <br /> Model: �'j`6��..� ��(�� � � � L" <br /> Fuel: ��l.�u'(�V�'�� <br /> Flue Size: <br /> Input BTUs: _�l�%,G��\ <br /> �;-�., <br /> Output BTUs: ���� � ��:�� <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: ' <br /> Make: �'C�f ►�i E�` <br /> Model: ���Q��� <br /> Tons: <br /> T�'I r <br /> H.Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood BurninQ Fireplace <br /> ❑ Wood Stove � Ivtodel No.: <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath E�chaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (_�Ylust be approved 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 />