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V vim„' ; .:''w „504 *r ,go , ,,Vt"• s r'�.,2.as ,'^,-a' s ;::- .x : v 3 ""x <br /> Fi <br /> s C� ' ; ,y« � uv * S s4<ks, �` x� war y d $ ba �?4 , ' 7+.r . ' + � n t m ' z4. - r <br /> x ,ilgt 440,4 <br /> ii <br /> tTE <br /> 'VA V9 <br /> ` <br /> r 4 b a Rj0, , tg �yd 3 T °# y4ck6�' m� �c_.ak rot rf1' ...,40Cf: i1, e,e f 4 3 f'. k1 f l f7 <br /> r , d/ (-• <br /> Duct Leakage Affidavit(Nevi, Curietructidr) e t To <br /> topy- <br /> Permit <br /> - <br /> House address or lot number 1 �. 7 E . Cd ' ri o Rd <br /> 1 <br /> City: 4 zip: <br /> Cond. Floor Area(ft2): 7 0 Source(circle one): ions Estimated Measured <br /> 0 Duct tightness testing is not required.The total leakage test is not required for ducts and air handlers located <br /> entirely within the building thermal envelope. Ducts located in crawl spaces do not qualify for this exception. <br /> Air Handier in conditioned space?j yes 0 no Air Handler present during test?0 yes 0 no <br /> Circle Test Method: Leakage to Outside Total Leakage <br /> Maximum duct leakage: <br /> Post Construction,total duct leakage:(floor area x.04)= CFM@25 25 Pa <br /> Post Construction,leakage to outdoors:(floor area x.04) CFM{,'1u 25 Pa <br /> Rough-in,total duct leakage with air handler installed:(floor area x.04)i 77D CFM@di25 Pa <br /> f Rough-In,total duct leakage with air handler not installed:(floor area x.03)= CFM@25 Pa <br /> . Test Results 3 , CFM@,25Pa <br /> I <br /> Ring (circle one if applicable); `Qpen I 2 3 <br /> j <br /> t A <br /> Duct Tester Location(:. rk Pressure Tap Location: <br /> I certify that these duct leakage rates are accurate and determined using standard duct testing protocol, <br /> Company Name: I..t e vice, , Technician: <br /> Technician Signature <br /> r ate: V / / <br /> Phone Number: ' rt <br />