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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 /No <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: LEr)10DX p <br /> Model: ILl15b HofloxP316 <br /> Fuel: NATURAL CG)S <br /> Flue Size: ll 2 a 'PVC <br /> Input BTUs: !o 4 000 <br /> Output BTUs: (02)'7 0 0 <br /> CFM: 000 <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: -� <br /> Model: <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 /> ❑ 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 />