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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 /> HEATIlVG SYSTEMS <br /> Quantity: I <br /> Make: <br /> ModeL• 0��"�� <br /> Fuel: � �0 <br /> Flue Size: <br /> Input BT[Js: /� <br /> Output BTUs: S�Pi vv V <br /> CFM: <br /> COOLING SYSTEMS , <br /> Quantity: / <br /> Make: �l��'f/ <br /> Moae�: C 33 Cs,�1� <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 /> VENTQ.ATION <br /> ❑ No. Kitchen Etchaust duct recirculating cfrn <br /> ❑ No. Bath Eachaust(must have duct outside) cfin <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fire Marsball if proposing to abandon tank in plac�) <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 />