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� - <br /> � � � ��� � MECMANICt1L SYST��vIS�BE�ING �NSTALLED� � � � ���"' '` <br /> °:. <br /> , s�.. .::: <br /> Note: All Geothermal Systems will now require a Site Plan& Review by our F3uilding Official. <br /> IS THIS GEOTHERMAL? ❑ Yes No <br /> HEATING SYSTEMS <br /> Quantity: � <br /> Make: �" � `� rt, <br /> Model: �L/'�b <br /> Fuel: (r <br /> �ii <br /> Flue Size: y <br /> Input BTUs: �7C�ULt� <br /> Output BTUs: J L� <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 Exhaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fire Marshall ijproposing to abandon tank in place.) <br /> ❑ Installation ❑ 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 />