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1994 Washington State Non"deritlal Energy Code &Wnpliance Form <br />Slaw <br />Project Info <br />Pre)ectaadress 3 pU ltlto*Fc-TbJ 84/ti <br />We � AZ <br />For Butiding Dept Use <br />DO207-0 43 <br />Na <br />Applicant me: <br />Applicant Address: <br />Applicant Phone: <br />Project Description Exrpivls of E�cwwj BJILOwS . REr/ IT> PIu1C yr74.t <br />srbt{L �E REortMo�wr %t1R f+nxaws UNITS � spy-r�' sly §7�s,.1 <br />Briefly describe mechanical /Hk Goo LC-9 lvytic%./sINS HN/TS, C41 NysPt Gi hRE D�_ <br />system type and features. <br />:.� Simpie System Complex System ❑ Systems Analysis <br />Comp'iance Option (See Decision Flowchart (over) for qualifications) <br />Equipment Schedules <br />The following Information Is required to be Incorporated with the mechanical equipment schedules on the <br />plans. For projects without plans, fill In the required information below. <br />Cooling E ui went Schedule <br />Equip <br />ID <br />Brand Name' <br />Model No.' <br />Cap.&? <br />Total CFM <br />OSACFM <br />® <br />SEER <br />o(JO) <br />IPLV' <br />Locaoon <br />A<W-1 <br />TrZ <br />�O40chi 2.o <br />2aAsCw24:) <br />lab "-a <br />110 oeo <br />1- <br />2.f <br />200916op <br />2w-)1do?o <br />l0, <br />Heating Equipment Schedule NA4AE <br />Equip. <br />ID <br />Brand Name' <br />Model No.' <br />Capacityr <br />Total CFM <br />OSA dm <br />Econo <br />Input Btuh <br />Output Btuh <br />EffiaeW <br />I <br />�I <br />I <br />Fan Equipment ment Schedule <br />Equip. <br />ID <br />Brand Name' <br />MoNo.' <br />del <br />CFM <br />SP' <br />HP/BHP Flow Comrd` <br />Loudon of Service <br />ANu <br />104uokv <br />CAW 12F04L <br />572, r <br />' If available. ' As tested according to Table 14-1, 14-2 or 14.3. ' n required. ` COP, HSPF, Cunbusfion Efficiency. or AFUE, as appilcade. <br />i Flow control types: VAV, constant volume, or variable speed. 07 <br />