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1 <br /> MECHA1vICAL SYSTEMS BEING 1N�TALLED <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 /> Make: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: <br /> Output BT[Js: <br /> CFM: <br /> C�LING SYSTEMS <br /> QuantitY: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIItEPLACES <br /> �as �Ic�.�.��lo 's <br /> �p2. � Gas Factory Fireplace Brand Name: ���' <br /> � Wood Buming Fireplace <br /> ❑ Wood Stove Model No.: �S�a�e ya �� �g�"� �" <br /> ❑ Wood Stove with Flue/Masonry <br /> w�o� f3H r�#�� F Plti<< <br /> vE1v1'II.�►TIo1v �-lea�n G I v m o•,�--�� <br /> ❑ No. Kitchen E�aust duct recirculating cfm <br /> ❑ No. Bath Etchaaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must b8 approved by Fare MarsbaQ Bjpropasing to abandon tank in plac�) <br /> ❑ Installation ❑ Removal <br /> Fuel Oil: gallons ❑ Underground ❑Inside ❑Ou�side <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />