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�.� <br />4B�', Ic����c TE'�n�:, � ��;:�'i�ll -�z�, <br />Property Address: �Z�� l77'� �%' SL`' <br />Conditioned rloo7• .4rea: 13 j y Date: `I II / l/� <br />I3nildcr or re�istcred design professional : <br />� I�/ �'e� <br />Signaftrre: ��`�-��/ <br />� <br />_ ::R-Ynitres . <br />Ceiiing: Vaulted R-�rloors: OvertmcottditionedspaceR- <br />Attic It- y"I S1ab on brade floor R- %[� <br />,�1'nlls: Above grade R- ,Z( Doors: R_ �`C� <br />Below, int. R- �_ <br />I3elow, ext. R- R <br />U-Pactors irud SHGC <br />NPRC rating (or) 1�indows U- L� SHGC- N/A <br />Dcfault ratinh (Appcndis n WSLC2G1?� Slrylights U- SHGG N/A <br />Tub1e 40C.2 Option(r) To1a1406:2 Crediis <br />Ilealii�g, Cooliir� &,Don�es1ic77ot fl'n1er. " <br />System Typc <br />Cfticicncy <br />Heating L��.�'� � <br />Coaling .��i} <br />DFIW ��.�J��eSS ��15 <br />Duc1.& Brrildirrg Air Leakage <br />All ducts & TiVAC in conditioncd spacc ( yes / no ) Insul�fion R- � <br />Air ]iandlcr prescnt ( ycs / no ) <br />Test Target��� CFM a 25Pa Test Result �� cl CFM�25Pa <br />Building air leatcage target: ACHso < 5.0 - Tested le�k�ge: ACI-I5� _ <br />Oirsite7teireivnLle E�iergy. EleclrrcPo ii�er System. <br />System type: Rated annual seneration ICwh <br />� —'x..._t. <br />�/ <br />