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, � <br /> A <br /> ME�HANICAL 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 /> HEATING SYSTEMS <br /> Quantit5'= <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Siae: <br /> Input BTCTs: <br /> Output BT[Js: <br /> CFM: <br /> COOLING SYSTEMS <br /> QuantitY: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> � Gas Factory Fireplacx Brand Name: �t6�.�n(� �d <br /> Wood Burnin�Fireplace <br /> ❑ Wood Stove Model No.: �U�l� G�. ,�� <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recircWating cfrn <br /> ❑ No. Bath E�sust(must have duct outside) cfm <br /> ❑ No. Other Fans: Loc�tions cfm <br /> FIJEL STORAGE (Must he approved by Fare Marshall�j'prnpos�ng to abaredon ta�k Bn 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 />