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Duct Leakage Affidavit (New Construction) <br /> Permit#: _ <br /> House address or lot number: <br /> City: °' _ Zip: �� ?e)3 <br /> Cand. Floor Area (ft): 6cy-) Source(circle one). Plans Fsllmate Measured <br /> ❑ Duct tightness testing is not required. The total leakage test is not required for duds and air handlers located <br /> entirely within the building thermal envelope. Ducts located in crawl spaces do not qualify for this excoption. <br /> Air Handler In conditioned space? 0 ye- <br /> ,J2'no Alr Handler present during tesCl,0'Yes ❑ no <br /> Circe Test Method: Leakage to OutsideTotal Leakage <br /> Maxlmum duct leakage: <br /> Post Co ,strucUon,total dud leakage: (floor area x .04) _ y CFM@25 Pa <br /> Post Construction, leakage to uutdoors:(floor area x .04)= CFM@25 Pa <br /> Roughan,total duct leakage with air handler installed: (floor area x.04)= CFM@25 Pa <br /> Roughan, total dud leakage with air handler not Installed: (floor area x.03)= CFM@_25 Pa <br /> FTmtResult CFM@2511a <br /> Ring (circle one if applicable): — Open 1 --- 2 <br /> Duct Tt .or Location:_ Li rPressure Tap Location: <br /> 1 certify that these dud leakage rates are accurate and determined using standard duct testing protocol. <br /> Company Name: Technician: <br /> Technician Signat <br /> Dale: <br /> Phone Number <br /> (3 <br /> jlj� <br />