Laserfiche WebLink
� ' i. <br /> Sa .�`�Y- �e��-�� �2. `1!v h <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: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> Input BT[Js: <br /> Output BTUs: <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> 0 Gas Factory Fireplace Brand Name: <br /> ❑ Wood Burning Fireplace <br /> � Wood Stove Model No.: <br /> ❑ Wood Stove With Flue <br /> VENTiLATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfin <br /> � No. �_ Other Fans: Locations S'Qe4 p.�so�. 1(o cfm <br /> FUEL STORAGE (�fust be approved by Fire Marshal!ijproposing to abandon tank in place.) <br /> 0 Installation a Removal <br /> Fuel Oil: gallons ❑ Underground a [nside �Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill � Other/List What&Where: �iQaE Y��k d /�!�/� �o�. <br /> 2 <br />