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�; � <br />J3 ��� Id t�, c; P��,�-�, �' -� � I �( I(` C� � I <br />Property df.ddress�: � I ��� �! G�`"�"�j, � j S�-' <br />Conditioned I+Ioor Area: 4=` � _ Date: �%� f��� <br />Btcilder or reg,i�stered design professional : <br />/ � /,�� �,6%— ' <br />, <br />Signatrrre: �` � -�--�� "`� .� <br />� ' . . . . . . -....�'VRlllCS. . , . - � . ' . <br />Ccitinb: V�uited R- /v:� L'loors: Overuncouditioned space R- �� <br />Attic R- `� j Slab on grade floor R- �G-� <br />�i'nlls: I�Uove g1�de R-,� /" Doors: R- �L� <br />Below, iiit. R- R_ <br />Below, ext, R- R_ <br />U-Pacrors arrd SHGC <br />NI�RC rlting (or) Windows U-� SHGC- N/A <br />Dcfault,;atino (Appcndis �1 �VSL•C 2U12) Skyli�hts U- SHGC- N/A <br />Tub1e4b62 0'ptroir(s) Tolal40G:2 Credil.s <br />Hentrirg; Cooiirtg &.Do�uestrc Hot. TPaler : <br />1 ypc �tficicney <br />/��f . <br />�/�— <br />DHW I ��(C �rSS �j•�J S l--- <br />Duct & Birrldi�rgAirLeaknge <br />.. . - �y <br />All ducts & S-IVAC in conditioned spacc ( ycs / no ) Insul�tion R- ,/ <br />Air handlcr prescnt ( ycs / no ) <br />�'est Target�.J ��,i CFM ci ZSPa Test Rcsult�CFM@25Pa <br />Building �ir leaicage target: ACI•IS� < 5.0 - Tested leakace: ACIIS� _ <br />Oirsr1e71eTreivnyle Erierg��,Eleclric Poii�er Sysiem. <br />Sysceii� type: Rated aunual generation ]Cvv(� I'� <br />