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MECHANICAL SYSTEMS BE1NG INSTALLED <br /> Note: All Geothermal Systems will now require a Site Plan&Review by our Buildinj Official. <br /> IS THIS GEOTHERI�LAL? ❑ Yes �No <br /> FIEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs: <br /> CF V1: <br /> COOLING SYSTEMS <br /> Quantity: � <br /> Make: ti+.. . ��t►l <br /> Model: �bll� l s (��.5 <br /> Tons: , �I t� <br /> H.Power <br /> FI�tEPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove ?vlodel No.: <br /> ❑ Wood Stove with Flue/I�fasonry <br /> `'ENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> � No. Bath Exhaust(must have duct outside) cfm <br /> No. Other Fans: Locations cfm <br /> FUEL STOR�GE (�Ylust be approved by Fire Marshall ijproposing to abandon tank in place.) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: �allons ❑ Underground ❑ Inside ❑ Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />