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4 <br /> MECHANICAL,SYSTEMS BEN.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 /> Quantity: l <br /> Make: 1' D4)h)E l.' ii/)Tv. <br /> Model: Oto OW <br /> Fuel: 4i <br /> Flue Size: It <br /> Input BTUs: (JO K <br /> Output BTUs: 51/g <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: I / <br /> Make: 6, f yp, <br /> lAA pp <br /> Model: 2.10_11121 !21,N)KOZN <br /> Tons: <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 /> al,, No. / Kitchen Exhaust — \ duct recirculating to cfm <br /> M 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 ,/ / 1112 <br /> ❑ Outdoor Grill Other/List What&Where: 5t-p UIt fy1?JJ/,) + 4 'att <br /> 2 <br />