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' MECHANICAL SYSTEMS BEING INSTALLED ~f.v��� <br /> . . <br /> Note: All Geothermal Systems will now require a Site Plan& Review by our Builduig Official. <br /> IS THIS GEOTHERMAL? ❑Yes,�No <br /> ., � <br /> HEATING SYSTEMS <br /> Quantity: � <br /> Make: <br /> Model: <br /> Fuel: G�.� <br /> Flue Size: <br /> Input BTUs: �� <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood Burnuig Fireplace <br /> � Wood Stove Model No.: <br /> ❑ Wood Stove With Flue <br /> VENTILATION <br /> ❑ No. Kitchcn E�aust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) efm <br /> ❑ Na Other Fans: Locations cfm <br /> FUEL STOR,AGE (Nlust be approi�ed by Fire Marshall ifproposing to abandon tank in place.) <br /> � Installation � Removal <br /> Fuel Oil: gallon5 ❑ iJnderground a Inside a Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill � Other/List What X�Where: <br /> 2 <br />