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9529331869 13:36-42 03 12 2015 2/3 <br /> ;. MECHANICAL SYSTEIvIS BEING INSTALLED <br /> Note:Alt GeothermaI Syste�ns will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑Yes [�No <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> Input BTtJs: <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Qaantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> [� Gas Factory Fireplace Brand Name: �,/�V�S <br /> ❑ Wood Burning Fireplace <br /> ❑ Wood Stove Model No.: QS5�4 t�i3 <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATIOAI <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> ❑ No. Other Fans: Locations cfm <br /> FCJEL STORAGE (Mtrst be approved by Fire Marsha/l if proposing to obando�:tank i�t placc:) <br /> ❑ Insta{lation ❑ Ttemoval <br /> Fuet Oit: gaqo�s ❑ Underground ❑Inside ❑Outside <br /> LP Gas: gaElons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill ❑ Other/List What&Where: <br /> 2 <br />