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3/24123. 7:26 AM <br />Scan_20230323.png <br />Duct Leakage Affidavit (New Construction) <br />Permit #: <br />House address or lot number: <br />J 00 3 �Gec�h AO� <br />City: Eu e re: �- Zip: <br />Cond. Floor Area (f:2): 5,5 1 t) Source (circle one): n Plans Estimated Measured <br />❑ 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 Handler in conditioned space? 0 yes ❑ no <br />Circle Test Method: Leakage to Outside <br />Air Handler present, dunno test? Cayes ❑ no <br />Total Leakage <br />Maximum duct leakage: <br />Post Construction, total duct leakage: (floor area x .04) = CFM@25 Pa <br />Post Construction, leakage to outdoors: (floor area x .04) = CFM@25 Pa <br />Rough -In, total duct leakage with air handler installed: (floor area x .04) =06L& 7 CFM@25 Pa <br />Rough -In, total duct leakage with air handler not Installed: (floor area x .03) = CFM@25 Pa <br />Test Result: L7 CFM@25Pa <br />Ring (circle one if applicable): Ope 1 2 3 <br />Duct Tester Location: �ld5 Pressure Tap Location: f:eAuc V ) <br />I certify that these duct leakage rates Iare accurate and determined using standard duct testing protocol. <br />Company Name: A l� j a Y1L e fly tC Technician: <br />Technician Signature: <br />Date: �T3n 1 1970a 3 <br />Phone Number: 340 -Ilm 6300 <br />