Laserfiche WebLink
111: '�f'� v fir rry t'"�i'` 'ap I p¢^ �g. �(� i Gj =^�r �. �, [ g�y. �.;, ^�.,�m� K"�y ," <br /> . a;i;A;I I ilk 4 e.C� ... 2�e €,`£ :14 7b+ G N3�srtzv!¢( a <br /> Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? El Yes No <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: (� <br /> Model: � 9)1-11\ '?O�o e. <br /> Fuel: J v 0. <br /> lli <br /> Flue Size: `I-1 <br /> Input BTUs: P) 0OC7 <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: CO b0 \ \L v\ <br /> Model: 72 40`n Lk 10 k <br /> Tons: /Z <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 El 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 />