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9529331869 14:30:33 01-08-2014 3/4 <br /> _; MECT�ANICAL SYSTEMS sEING INSTALLED <br /> Note:All Geothermal Systems will now require a Site Plan&Review by our$uilding Official. <br /> IS THIS GEOTAERMAL? ❑Yes 0�10 <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Euel: <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 /> FXREPLACES <br /> � Gas Factory Fireplace ��.> Brand Name: �C:�Z.C. •-�t:_�>:� <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove Model No.: ,.�<'���c:i�.��v. -�c�2 -3 C� <br /> ❑ Wood Siove with Flue/Masonry <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfin <br /> FUEL STORAGE (Must be approved by Fire Marshal/if proposing to abandon tank in p1ac�) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gaIlons ❑ Underground ❑Inside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> � <br />