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. '� �MEC$ANI:CAI;S�'S`�E]�VIS BEIlVG INSTALLED . <br /> Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. � <br /> � <br /> IS THIS GEOTHERMAL? ❑ Yes ❑No <br /> HEATING SYSTE <br /> Quantity: <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> r <br /> Input BTLJs: <br /> Output BT'Us: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quanrity: <br /> � <br /> Make: �/�� <br /> Model: ���{�t j 3 J ��-�D� <br /> Tons: I Ilit ��� <br /> H.Power <br /> FIREPLACES <br /> ❑ G Factory Fireplace Brand Name: <br /> ❑ Woo uming Fireplace . <br /> ❑ Wood ve Model No.: <br /> ❑ Wood Stov 'th Flue/Masonry <br /> VENTILATIOlV <br /> ❑ No. Kitchen aust duct recirculating cfin <br /> ❑ No. Bath Exhaus must have duct outside) cfm <br /> ❑ No. Other Fans: Lo rions cfm <br /> FLTEL STORAGE (Must be approved by Fi�e Mars ll if proposi�tg to abandon tank in place.) <br /> ❑ Installarion ❑ Removal <br /> Fuel Oil: gallons nderground ❑Inside ❑ Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY ' <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />