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. ':MECHATIICAL SY4'TEMS BEt�C Tl�i�aTAI,LED` <br /> Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑Yes �No <br /> REATING SYSTEMS <br /> Quautity: � <br /> Make: � <br /> Model: �C7��GS�o/�� G <br /> Fuel: �C/G/�A'G�� �Gc,S� <br /> Flue Size: <br /> 6 �i <br /> Input BTUs: /00, �GO <br /> Output BTLTs: �`dd <br /> CFM: �� D� <br /> COOLIlVG SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <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 /> ❑ No. Kitchen Eachaust duct recirculating cfin <br /> ❑ No. Bath Exhaust(must have duct outside) cfin <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in plac�) <br /> ❑ Installarion ❑ 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 />