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9529331869 19:07:46 03-02-2014 3/4 <br /> 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 No <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: (ca vv2. <br /> Model: 11.4)1 c3C1,6 k`i 34'l <br /> Fuel: (a5 <br /> Flue Size: <br /> Input BTUs: )cc) O <br /> Output BTUs: Co%iVC(> <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: "Cr xvvo.. <br /> Model: 'LT`1t3 7)( 3i)(;:',/(:.a)Pc <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 /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> 0 No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place) <br /> ❑ Installation 0 Removal <br /> Fuel Oil: gallons 0 Underground 0 Inside ❑Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill 0 Other/List What&Where: <br /> 2 <br />