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MECHANICAL SYSTEMS BEING INSTALLED <br /> Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑ Yes 1-No <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: 'Z ''Zvi C 1311,14( 15voi AAA '`f«.N <br /> Model: 'i Iqq2,, SC2180°517 T/2Sc.Lia'/00521 <br /> Fuel: 44Pret <br /> Flue Size: <br /> Input BTUs: (0 0,0 00 l00, 000 <br /> Output BTUs: $8s®O (,,0o0 <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> '15 <br /> Make: <br /> �vAn.v. lew Tj1-yc gra 4.r. <br /> Model: 13 AN 4022-13A90 1134 A1,0164 )3 AI <br /> Tons: Zi41944 3 <br /> H.Power ZZ-d 22-0 <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 /> El No. Kitchen Exhaust duct recirculating cfin <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfm <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: <br /> 2 <br />