Laserfiche WebLink
r <br /> a ` •' <br /> a <br /> Note:All Geothenaiai Systems will uow rec�uire a Site Plau&Review by t��u Buildiug()�icial. <br /> IS THIS GEOTI�RMaL? ❑Yes �h6o <br /> HEATING SYSTEMS <br /> Q„�r�ty: 3 <br /> Make: �'a.r ri� ��.r r i� <br /> 1v�oael: , �1 Thf� �21 Sy7h�aR�DG(�V,� <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: ��� <br /> Output B'TUs: � �"d <br /> GFM: <br /> COOLING SYSTEM3 <br /> Q�,�,tity: � .2 <br /> Make: � _ cv'ri`tT �'a/�r�`cT <br /> Model: �� �lq/1-��"��� 'y���o� ��s� <br /> Tons: � <br /> H.I'ower <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> ❑ Woad Biuning Fireplace <br /> ❑ Wood Stove Model No.: <br /> ❑ Waod Stove with Flue I Masonry <br /> VENTILATIUN <br /> ❑ No. Kitchen Exhxust duct recirculatin,� cfm <br /> ❑ I�Fo. Bath fiuhaust(must have duct outside) cfin <br /> ❑ �o. �ther Fans: Locations cfm <br /> FUEL STORAGE (Must be npproverl by Ftie Marsh�all{iJ'pmposin�to abandon tank in plac�) <br /> ❑ Ir�stallation ❑ Remaval <br /> Fuel t3i1: gallons ❑ Uxuler�round ❑Inside ❑thitside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Chitdoor Gzill ❑ Other/List Mhat&Where: <br /> z <br />