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"M � ` 'may W\ HI (JTr )N STA3i UN WFRS <br /> „� 1:8Ex it NStON ENIF RC;Y PROGRAM iiport <br /> Duct Leakage Affidavit (New Construction) <br /> Permit#: /60.8 -- 0 1'Y <br /> House address or lot number: 6 £fO /i'/e A 182-01A L r <br /> City: EV. 1�-7`f Zip: <br /> Cond. Floor Area (ft2): 3 3 L( f Source (circle one): 41110.ti Estimated Measured <br /> ❑ Duct tightness testing is not required. The total leakage test is not required for ducts and air handlers located <br /> entirely within the building thermal envelope. Ducts located in crawl spaces do not qualify for this exception. <br /> Air Handler in conditioned space? ❑ yes no Air Handler present during test? [4 yes ❑ no <br /> Circle Test Method: Leakage to Outside Total Leakage <br /> Maximum duct leakage: <br /> Post Construction,total duct leakage: (floor area x .04) = 13 3CFM@25 Pa <br /> Post Construction, leakage to outdoors: (floor area x.04) = CFM@25 Pa <br /> Rough-In, total duct leakage with air handler installed: (floor area x .04) = CFM@25 Pa <br /> Rough-In, total duct leakage with air handler not installed: (floor area x .03) = CFM@25 Pa <br /> Test Result: 69 CFM@25Pa <br /> Ring (circle one if applicable): Open 1 2 <br /> Duct Tester Location: kilt& Pressure Tap Location: /' ]`d £&. g-1'/11/ <br /> I certify that these duct leakage ra es reccurate and determined using standard duct testing protocol. <br /> EittL e y' oat fon / <br /> Company Name: l l�a_4 t�GLJ . mut ('o+o ec'k� " e Technician: V I V-t I� /-GU7let S <br /> Technician Signature: <br /> Date: Li/7- / / 7 <br /> Phone Number: f 2•S--- 7 7 3 — 13 <br />