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ECHANIC , SYSTEMS BEING INSTALLED r ; " <br /> Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑Yes ki No <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: Geerikaaita <br /> Model: V�V Mu <br /> Fuel: na4 <br /> ►i <br /> Flue Size: I' <br /> Input BTUs: ' O k <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: Good/vac/al <br /> Model: <br /> Tons: c s <br /> H.Power <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 cfm <br /> ❑ No. 4 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 l: Other/List What&Where: -r) # 4 ,' a,( . . e. <br /> 1 <br /> 2 <br />