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� MECHAi�IGAL SYSTEIVIS BEING I�ISTALLED <br /> Note:All Geothermal Systems wil!now require a Site Plan&Review by our Building Officia7. <br /> IS TAIS GEaTHERMAL? ❑Yes [�.No <br /> HEATING SYSTEMS <br /> Quant�ty: d� <br /> Make: u.� <br /> Model: ���I T I-� O�v �( <br /> Fuel: <br /> Flue Size: <br /> Input B'i'Us: <br /> Outp►tt BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: 1 <br /> Make: <br /> Model: }�J3� �,�A <br /> Tons: � �� <br /> H.Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Namc: <br /> ❑ Wooc�Surning Firepiace <br /> ❑ �t�ood Stove Model No.: <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTII.ATION <br /> ❑ No. Kitchen Exhaust duct reci�culating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) � <br /> ❑ No. Other Fans: Locations �� <br /> FUEL STORAGE (Must be approved by Fire Marshall if proposing to abando�lank in plac�) <br /> ❑ Installarion ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> j] Outdoor Grill ❑ Other/List 1Nhat&Where: <br /> 2 <br /> Z•d �8b�80 96 801nf <br />