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. � , � � � <br /> 2001 Washington State Nonresidential Energy Code Compliance Form <br /> 2001 W as�nglm Slale NorvoiWnual Energy COEe Cdnpianc�Fam� Finl EE�Lm,JUN Ippt <br /> Project Info Prqect Addrrss 10217 19th Avcnuc SE Oate 2� y�a 04 <br /> Y <br /> Everctt, WA 98208 For Build•�DepL Use <br /> Applicant Name: GSC �csign <br /> Applicanl Adtlress: 5019 139th Placr. NE <br /> Applicant Fhone: q?5-350-8984 <br /> Project Description <br /> Bnelly describe mechaniwl system <br /> type and fcaWres. <br /> �Include5 plans Inc!ude documentalion requiring compliance wrih commissioning reqwremenls,Section 1476 <br /> Q Simpte System ❑ Complez System ❑ Sys�ems Analysis <br /> Compliance Option <br /> ISee Oecision Flowchan(ovm)(or Qualifcanons. Use seoerale IdECH�SUM fo�simole d comolex system5.1 <br /> Equipment Schedules The lollavmg in(wmaiian is reqwretl lo be incorporatei�mlh the mechamcal eqmpmenl schedules on the <br /> plans. For projecls wilhout plans,lill m Ihe reqmrcd mlc`mation Celi.w. <br /> Coolin E ui ment Schedule <br /> Equip. Capacity OSA CFM SEER <br /> ID Brantl Name' Model No' B!u/h Tolal CFtiI or Econo? or EER IPL`P Laation <br /> See Drawing i�I2 - Packaged Rooftop Heat Pump Schedule <br /> Heatin E ui ment Schedule <br />� Eqwp. Capaci�y OSAcIm <br /> ID Brand Name' Motlel No.' B�Wh Tolal CFA1 or Econo? �nout BWh Outoul BNh Elfiuenc <br /> See Drawing M2 - Packaged Rooftop Heat Pump Schedule <br /> Fan E ui ment Schedule <br /> Equip. <br /> ID Brend Name' +Aodel No.' CFM SP' HPlBHP Flow Conlyd' Location of Service <br /> See Drawing M2 - E.Yhaust Fan Schedule <br /> 'If available. 'As tested accading to Table 14-1, 1J-2,or td-3. 'It requiretl. 'COP,HSPF,Combustion Efficiency,or AFUE,as <br /> applicable. 'Flav coNrd types:variable air voiume(VAV),constanl wlume(CV),or variaEle specb(VS). <br /> 95021ithAvenueNE Skylark Engineering 'hO^e: �206�526•7963 <br /> Seattle.WA 981IS Faz: �425)790.3189 <br /> (O <br />