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r---------m_ - __ <br /> 199C Washington State Nonresidential Energy Cotle Compliance Fortn <br /> I — <br /> . . 1044 Wu�inpl0n 51�4 Nonq�IE�nI1el Enarpy Cod�...mpll�nc�Fmm� S�cunE EalOon•Jun�1885 <br /> Project Info Pro�ectAtltlress oace 4,�Zp�� <br />', For Building Dept Use <br /> Applirant Name: <br />� Ap�iicant Atltlress: <br />� �Appliwnt Phone: <br /> Project Description �.ftA <br />�� Bdelly tlescdbe mechanlral � <br />� system type antl i,atures. <br /> Simple System ❑ Camplez System ❑ Systems Malysis � <br />, Compliance Option <br /> (Ses Decision Flowchart(over)lor qualllcation�) <br />� EC1t11PIIlCIIt $CfICC�UlES The lollowing inlormation is requlred to be incorporated with the mechaniwl equipment schedules on the <br /> plans. Far proJects withoul plans,fill in the required inlortnatlon below. <br /> I <br /> Coolin Equipment Schedule <br /> Equip. OSA CFM SEER <br /> �� Brand Name' Model No.' Capadt� To[al CFM Econo or EER IPLW Location <br /> I� <br /> V \ <br />� Heatin E ui ment Schedule <br /> Equlp. OSA clm <br /> ID Brand P!ame' Motlel�o.� Capadt� Tial CFM Ecano Input Btuh Output Btuh EHiciency` <br /> Fan Equi ment Schedule <br /> Equlp. <br /> �� Brnnd Name' Model No.' CFM gp' HPBHP Flow Contrd° Lacatlon ol Service <br /> � <br /> 'If available. 'As tested accortling to Table 14-1,t4•2 or 143. 'If required. 'COP,HSPF,Combustion EfAciency,or AFUE,ac appllrable. <br /> s Flow mntrol types:VAV,constanl voluma,or vaAable spaed. <br />