Laserfiche WebLink
Sep. 6. 2017 10: 18AM No. 0753 P. 3 <br /> x: <br /> ��?? xx �y µ <br /> 1,. ..,__... ,+�:..-,..'i t . �� .��sA'�1�rS,��,�. , �, _ ,�.` ��.D�_.� .�If Fi�..-.�,.�l�tk ,issi'I <br /> Note:Ail Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑Yes KNo • <br /> HEATING SYSTEMS <br /> Quantity! <br /> Make: <br /> Model: <br /> Fuel; <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs: <br /> CFM: <br /> • <br /> COOLING SYSTEMS • <br /> Quantity: <br /> Make; <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> O Wood Burning Fireplace <br /> Wood Stove Model No.: <br /> ❑ Wood Stove with Flue/Masonry <br /> • <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating din <br /> ( <br /> No. I. Bath Exhaust(must have duct outside) b 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 ❑ 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:_P WA, r <br /> 2 <br />