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' 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 /> /� <br /> HEATING SYSTEMS <br /> Quantity: �._�� <br /> Make: <br /> Model: <br /> Fuel: <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 Burning Fireplace <br /> ❑ Wood Stove Model 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 (Must be approved by Fire Marshal!ijproposing to abandon tank in p[ace.) <br /> ❑ Installation ❑ Removal \�-' � <br /> Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> � GAS LINE ONLY <br /> \ <br /> ❑ Outdoor Grill � Other/List What&Where:��,�(,Y�(��:, `� <br /> 2 <br />