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♦ I <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 /> i � <br /> HEATING SYSTEMS <br /> Quantiry: � <br /> Make: D f o n�- <br /> Model: ���V►'1(��y�,oq�V►7 <br /> FUeI: I`�`���ra� 131R3 <br /> Flue Size: �, J�' <br /> InputBTUs: b ��� <br /> Output BTUs: b 0� <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: � <br /> Make: D t`y a,.� <br /> Model: ��3 �1��4�.� <br /> Tons: � <br /> H. Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove Model No.: <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> p�� <br /> � No. � Kitchen Exhaust O duct recirculating �0� cfm <br /> � No. � Bath Exhaust(must have duct outside) �cfm <br /> No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fire Mars/�a!!if proposi�:g 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: ICc���e ��ti e�� �,�C�I�iC�f <br /> , <br /> 2 <br />