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MECHANICAL SYSTEMS BE1NG INSTALLED <br /> Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑Yes [�'No <br /> HEATING SYSTEMS <br /> Quantity: � <br /> Ma1�e: �f►-r.c r�t.. `i'u�-1 Z L�u�t}9V�l V,�' <br /> Model: �V°�J� <br /> Fuel: ��}'� <br /> Flue Size: <br /> Input BTUs: 1JJ� J�O <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: � <br /> Make: Ti�,r-lt., �{TT X SU Jb/��`�� <br /> Model: ��.-�b <br /> Tons: � ��S <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 E�chaust duct recirculating cfrn <br /> � No. �_ Bath E�chaust(must have duct outside) �o cfm <br /> [� No. � Other Fans: Locations ��e.r cfm <br /> -T <br /> FUEL STORAGE (Must be approved by Fire Marshall if proposing 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: 6H���-c� c1�-.�N <br /> Gc,�l,�-c -Fo se.� -c+� �-�.�cL <br /> 2 <br />