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r. <br /> Unel I.rnkn�e �ffida�it <br /> Permit M — - <br /> House eddress or lot number �� � 1 — <br /> City ���e � Z�P �_=--- <br /> Cond Floor Area (fl7) J � Source(circle one) lan Eshmated Measu�ed <br /> ❑Duct hghlness tesling is not reqwred tor this residence per exceptions listed at ihe end o1 Ihis documr.m <br /> An Handler in conditioned space�❑yes�no Air Handler presenl dunnq test��:� yes n no <br /> Grcle Test MethoA Leakage lo Outsido 6tel Le�c'age <br /> �_- <br /> Maximum duct leakage: I <br /> Total duct teakage eir handle�Instelled: ((bor area x 09) = � CFM(�:5 F'a <br /> Total duct leakage air handler not installed: (floor area x 04) - �� M�%`•' �'� <br /> Leakage to outdoors: (Ooor area x O6) � _CFM@25 Pa 1 <br /> I 7est ReaulC �� CFM@25Pa <br /> --- -- --------- <br /> H�ng �circle one) - - ppen 1 2 3 / <br /> Duct Blaster LoceUon �]_��I Pressure Tep Locahon ����_�3_ 7� �'-� <br /> I certify that theae duct leakage retes are eccurate 3nd determined usfng slenderd duct teatfng protocol <br /> Company Name l-V7 Y _ 1(�C�' �n � __-Techmuan �� � I � 1.�� �'�'(�1___ <br /> —� Q ^ - �r � �- �/�0 � , <br /> Dale �) � � I '�� Phona Number J6�' � <br /> Wsehlopton Slan En�rBY Code rolennca: <br /> 507 10.t S�slfng.Ali Aucts BI�hP�IAIP.R.PoIC��O�CS.9IX1 DuM10(J GN1125 USld P!AlN:�3!hlll b!lBBIlA Janls end eeams si�a„comply <br /> .v�m Ser,t�un M i6G� 7 0�Ihr MfemefKrrel ReeMenbel f,afe a fi07 B o�Ihe IMemahw�si Mechankal Code �ucl Ug�lness les'irg shxn he <br /> .„•,n„c�eA io venN Iha11M d�m�n a�e eeakJ A e�grxd e�tlan�tlocumenOng Ihe Ixat resulle shen be pomdetl In Ihe Nnsdiclbn hnhng <br /> .,,,u,�•�ny��v�n�irslug ngenl Whan rcquirea oy Ihe 6uNling oKir.inl,Ine lest ahall be cnnCiKletl in Ihe Dresence o�depatlmenl ata% <br /> , , ,.;,i,-,,,.; i i nH��pgnlrnns�eel is rwl�ea��etl tl IM eir haMier eM ell Cuds a�r located vAlhin conAninneA epece <br /> , �,:�i i�snng is nol�eqmmtl la nan+r.s kes than t 700 epueie leet al Ileor eren Ihal meel ell o�Ihe lollm�nng rodu�emente <br /> .�� f+u�Ming rnv�Ues fhall ral De usM as pah ot Ihe nu Iranspoh nyelem <br /> i�� �•iuhons o�Ihe eyalem localed euls�tle ol the Ihe�mxl emebpe xre iimtetl lo�he�NAC eqmpneni erM no mMe Ihen <br /> ��.��u�eqr feel ol suppy an�retum A��cl <br /> . �i epuipmenl nntl tluct�ucaleE outsitle Ihe Ihermel envebpe 6hn11 b!seeied using mestk. <br /> � �nter pccess inslalle!tl rnd��le ol Ine IMrme�enveiope ehell mqude en ligh�tloors vAl�a geskel aM e lalch <br /> ,•. I�� 'Is 1��ab,d an�SiAP IPr Ihr.m��l rrvntryM eha�l nul tx�invdnlNd u��lii tlm Aucl xedl�ng hqs UPPn m!(H!cIM DUcI <br /> .�, i,C�����r.i.., .n. �.� 'P:- e� t�ri.��i��r•ry�lr.•.•,h.�q n,:.r al lh�.qi�a�inaPr�lio�' c1 Ux�hnnm <br />