Laserfiche WebLink
, 12-48-'15 14:40 FROM- T-473 P0002/0007 F-827 <br /> � � � -�. '�.'-�;; j��'p 7j,�,�7,�--��r--.�"'"".�"ti ��( D�] ��` � ,s-..7�T'p`°'�''� E � �� tc ,:' <br /> ,.}�-a. �s�.sn,X?r,���'Nky.�-�%�.!��''111� �"�_���?�,�6Yd.�iAfdv.�2rs","4'���tl�L,���"_ �'� `k :?_c <br /> � <br /> Note: All Geothermal Syste�ns�vill now a��quire a Site Plan&Review by our Building Official. . <br /> IS THIS GEOTHERMAL? � Y�s ❑No <br /> HEATiNG SYSTEMS ; <br /> � <br /> Quanti�3'= .,.�w...,. _._�,_... ----- . � <br /> Makc: ' <br /> Model: ,_,,, ____� <br /> Fuel: <br /> �'lue Size; � .__ � <br /> Input BTUs: _ ___�_�_� ' <br /> Output BTUs: ., ' <br /> CFM: �,.....- r __�.- <br /> COOLING SYST�MS � <br /> Quantity: , � <br /> N[a1ce: � � <br /> Modtl: _..__ <br /> Tons: . <br /> �-C.Powcr _ --� � <br /> FIREPY.,AC� � ` <br /> � . ; <br /> Gas�actory Pire}ila�e' Brancl Name: ;� �� <br /> ❑� �Wood�uiming Nircplace � p � <br /> Woad Stove; Model No.: ����J-�� <br /> ❑ Wood Stovz with�?tue i Masonry <br /> V�NTILATION '' <br /> ❑ No. �Citchen Exhaust duct recirculating cfm ; <br /> ❑ No. � Ciath Exhaust(must have duct outsitle} ef'm <br /> ❑ No. Other Fans: L.ocations cfm ! <br /> i <br /> FCJ�,X.STdRA�� (Must be np,�roved by 1�'kre Mnrshnll if proposirrg tn ah�rr►ilv��tunk iri place.) � <br /> � <br /> ❑ Installation ❑ Retnoval � <br /> Fue!Oil: gallons ❑ Un�ergrUund ❑ [tlside �Outsidc � <br /> LP Gas: gallons <br /> Other: � <br /> GAS LIN�;ONC.'Y <br /> ❑ Uutdoor Grill ❑ Other/List What&Whcre:� <br /> t <br /> 2 <br />