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Project Info <br />Protect Address 101 IV i S <br />f <br />Dale n �J <br />^ <br />For Building Department Use <br />Applicant Name: G %'1 ( A A)06 P j EALC55 � U Li rQ V/e' <br />Applicant Address. <br />n <br />Applicant Phone: /�, /�G r ZQ <br />Project Description <br />to <br />Briefly describe mechanical system <br />type and features. <br />Simple System ❑ Complex System ❑ Systems Analysis <br />COmpllanCe Option (See Decision flowchart (oveq for qualifications) <br />Equipment Schedules 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 Equipment Schedule <br />CFM SEER <br />Equip. Total <br />ID Brand Name' Model No.' Capacity' I Total CFM Econo or EER IPLV' Location <br />Heatin E ui ment Schedule <br />Equip. <br />ID <br />Brand Namel <br />ICI-SNCiL. <br />Model No.' <br />�15n!' :fir'. <br />Capacity' <br />ISD �^o <br />Total CFM <br />OSA cfm <br />Econo <br />Input Btuh <br />I <br />Output14 <br />Fan Equipment Schedule <br />Equip' ID Brand Name Model No.' CFM Sp, HP/BHP Flow Controls Location of Service <br />nn1n�M1IP <br />'It available. ' As tested according to Table Id"1. 14.2 or 14-3. . If required. <br />' Flow control types VAV constant volume, or variable speed. <br />