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ctel <br /> Property .address: _ : ` r <br /> Conditioned Floor :trea1.1.15_ Date: / zi <br /> a,g_ <br /> Builder or register design professional : <br /> it.,::. bed ck.c.3- <br /> t-� <br /> : Signature: - <br /> r <br /> R-l'aluers <br /> V <br /> ;:a, Ceiling: Vaulted R- Floors: Over unconditioned space R. <br /> Attic R- Slab on grade floor R- <br /> •�; Walls: Above grade R- Doors: R- <br /> w Below, int. R- <br /> R- <br /> ..- Below, ext. R- R- <br /> t'-Tactors,and S!IGC <br /> .r <br /> NRFC rating(or) Windows U- SHGC- N/A <br /> Default rating'AppiendiXAw 2o0) Skylights U- SHGC- N/A <br /> Tapley 406.2 Option(s) Total 4116.2 Credits. <br /> Ikatink, Cooling & Domestic Hot hater <br /> _stem S <br /> ,,� Y I'�'pe Eftiiicanr� <br /> C Heating <br /> Cooling <br /> ``"' DI 1W <br /> .i; Duct & Building Air Leakage <br /> 00. <br /> WMIlin <br /> , , All ducts& HVAC in conditioned space ( yes/ no ) Insulation R- <br /> "r Air handler present ( yes/no ) <br /> q <br /> ^t Test Target CR/(ri@25pa Test Result CFM(a25Pa <br /> g air leakage target: Anti, < SA - i cstcd leakate: ACH,,, <br /> Onsltr Rrnewahle i vert j. Electric. Power Sp rt mn <br /> System type: Rated annual generation Kwh <br /> C.) <br />