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. . WASHINGTON STATE UNIVERSITY <br /> � ) ) rEXTENSION ENERGY PROGRAM <br /> Sot <br /> Duct Leakage Affidavit (New Construction) <br /> Permit t: <br /> House address or lot number: <br /> City: `, , Zip: a <br /> Cond. Floor Area(ft2): Source(circle one): Plans 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? Dyes D no Air Handler present during test? ❑ yes ❑ no <br /> Circle Test Method: Leakage to Outside Total Leal Lea g <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: CFM@25Pa <br /> Ring (circle one if applicable): Open 1 .✓- 3 <br /> Duct Tester Location: ,)Put t( 94, \ Pressure Tap Location: Q+wt t/ <br /> I certify that these duct leakage rates are accurate and determined using standard duct testing protocol. <br /> Company Name- Technician: <br /> Technician Signature: <br /> Date: <br /> Phone Number: E <br />