Laserfiche WebLink
Aug, 2�1�t11��.58AM ~ r No, 0464 P. 1 <br /> ��es �'I�� �s <br /> � � �-���� �Q <br /> Note:All Geothetmal Systems will now require a Site Plan&Review by ouY BuiIding Official. <br /> ZS THIS GEOTHERMAL? ❑Yes ❑No <br /> HEATING SYSTEMS <br /> Quantity; <br /> Make: <br /> Model: <br /> Fuel; <br /> Fh►e Size: <br /> Input BTUs' <br /> Output BTUs' <br /> CFM; <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make; <br /> ModeL• <br /> Tons: <br /> H.Power __— <br /> CES <br /> � � Gas Factory�ireplace Brand N'ame: <br /> c�'r�..(�- �1 11� <br /> ❑ Wood Surning Pireplace �� I� <br /> ❑ Wood 5tove Modei No.� <br /> ❑ Wood Stove with Flue/Masonry <br /> 'V�NTILATION <br /> ❑ No. �itchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outaide) cfm <br /> ❑ No. Other�ans: Locations cfm <br /> FUEL STORAG�'_(Must be approved by Fire Mnrshull if propasing to abandon tank in ploce.) <br /> ❑ Instellation ❑ Removal <br /> Fuel Oil� gallons ❑ Underground ❑Tnside ❑Outside <br /> LP Gas; gallons <br /> Other; <br /> GA5 TNE ONLY <br /> ❑ Outdvvr Grill Q Ocher/L� t What&vVhere� <br /> �� �!�-�:-�� K� '.'_"/ [� �✓r �� 1���J �/'_'�� <br /> � � � <br /> ��� ��r�tr� b� ���.-s <br /> � <br />