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2004 Washinqton Slate Nonresidential Energy Code CL,mpliance Form <br />Hays" May 2005 <br />Project Info <br />Project Address Everett Clinic, Pathology Lan <br />Date B/30/2007 <br />Founders auildi ng Lover <br />For Building Dept. Use <br />3901 Hoyt Ave, Everett HA 90201 <br />Applicant Name: Eddie Shahan <br />Applicant Address: PSF Math— 9322 14th Ave S, Seattle, VA 90108 <br />Applicant Phone: 206 812 3594 <br />ject Description <br />y describe mechanical <br />in type and features. <br />Q Includes Plans Drawings must contain notes requireing compliance won commissioning requirements - Section 1416 <br />QQ Simple System O Complex System O Systems Analysis <br />ComplianLe Option (See Decision Flowchart (over) for qualifications. Use seperate MECH-SUM for simple & complex systems.) <br />Equipment Schedules <br />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 informati3n below. <br />Coolin Equipment Schedule <br />Equip. <br />ID <br />Brand Name' <br />Model No.' <br />Capacity 2 <br />Btu/h <br />Total CFM <br />OSA CFM <br />or Econo7 <br />SEER <br />or EER <br />IPLV1 <br />Location <br />SEE SHEET M0.2 <br />Heating Equipment Schedule _ <br />Equip. <br />ID <br />Brand Name' <br />Model No.' <br />Capacity' <br />Btu/h <br />Total CFM <br />OSA cfm <br />or Econo7 <br />Input Btuh <br />Output Bluth <br />Efficient ° <br />Fan Equipment Schedule <br />Equip. <br />ID <br />Brand Name <br />Model No <br />CFM <br />Sp' <br />HP/BHP <br />Flow Controls <br />Location of Service <br />SEE SHEET M0.2 <br />'If available. 'As tested according to Table 14-IA through 14-1 O. 3 If required. 4 COP, HSPF, Combustion Efficiency, or AFUE, as <br />applicable. S Flow control types: variable air volume(VAW constant volume (CV), or variable speed (VS). <br />-lot <br />