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. , ' MECHANI�AL S�STEMS BEIN�'r iNSTALLED <br /> � � Note: All Geothernial Systems will now require a Site Plan& Review by our Building Official. <br /> t IS THIS GEOTHERMAL? ❑Yes [�No <br /> ,.� <br /> HEATING SYSTEMS <br /> Quantity: / <br /> Make: <br /> Model: 3r <br /> FueL � <br /> Flue Size: <br /> Input BTUs: �j�O� <br /> Output BTUs: 7� � � _ <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 <br /> VENTII.ATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> Q No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fire MarshaU ijproposing to abandon tank in plac�) <br /> � Installation a Removal <br /> Fuel Oil: gallons ❑ Underground a Inside �Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill � Uther/List What 8r Where: <br /> 2 <br />