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Project Info <br />Project Address 51 76T" 'SC. SvA1 <br />Date <br />Z q 1 <br />v15e> <br />t'VQQ-FTY�.� �2 <br />For Building D+partmenl Use <br />Applicant Namer—f4sNK rl <br />Applicart Address127--17 0`!-0r T" • <br />Applicant Phone REVAA�W& OSZ 425 g2l 33 <br />Project Description `"NWAL, `br'*ZT'--40 BY L4FJM� PEQ IT <br />Briefly describe mechanical system <br />type and features. <br />❑ Simple System ❑ Complex System ❑ Syslems Analysis <br />Compliancc Option (See Decision Flowchart (over) for qualifications) <br />Equipment Schedules The following information is required to be incorporated with the mechanical equipment schedules on the <br />plans For projects without plans, fill in the required infonnatwn below. <br />Cooling Equipment Schedule <br />Equip <br />10 <br />Brand Name' <br />Model No <br />Capacity' <br />Total CFM <br />OSA CFM <br />Econo <br />SEER <br />or EER <br />IPLV' <br />Location <br />Heat* n r Equipment Schedule <br />Equip <br />ID <br />Brand Name' <br />Model No <br />Capacity= <br />Total CFM <br />OSA clan <br />Econo <br />Input Btuh <br />Output Btuh <br />Efficiency' <br />Pan I uipment Schedule <br />Equip <br />ID <br />Brand Name' <br />Model No <br />CFM <br />SP' <br />HP/BHP <br />Flow Conlrols <br />Locatwn of Service <br />If avadablo ° As tested according to Table 141. 142 or 14-3 ' II required. ' COP, HSPF, Combustion Efficiency, or AFUE, as applicable <br />' Flow cc,wJ types VAV. constant volume, or vanable speed. <br />