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is nsr <br /> 4 � t < � 1;, 7 t <br /> ��k���sh r�� L ^� r�F��*�,k. t:'.rc�t*€r�'f�,a"� `,+�`��v�f f �'1 a ;,5•.4 k{J,.inn��sP ��.'.s � �,s� "'s �Ff4., <br /> Duct Leakage Affidavit(New Construction) <br /> Permit#: <br /> - A eg A <br /> Houseaddressorlotnumber: 4.°t,`-t''g f e-- <br /> City: ��ef'e t- Zip: C e ?L�'•3 <br /> Cond. Floor Area(ft2): :3(3 - Source(circle one): Bans Estimated Measured <br /> 0 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?0 yes 0 no Air Handler present during test?2-9' s Li no <br /> Circle Test Method: Leakage to Outside (Total Leakage J ,' <br /> Maximum duct leakage: <br /> Post Construction,total duct leakage:(floor area x.04)= CFM@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: yq CFM@25Pa <br /> Ring(circle one if applicable): /Open ) ii1 2 3 <br /> Duct Tester Location:I-1 1/i!1� O ►I I 6'J ssure Tap Location: bi.je " �l e� J�- <br /> I certify that these duct leakage rates are accurate and determined using standard duct testing protocol. <br /> Company Name: A i// e:),/ac--„-e; //// f( Technician:(: t;f `i 1 a 7-76./7 <br /> Technician Signatu <br /> Date: e9/is/i <br /> Phone Number: L2 C'S 5Y 1775 <br />