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<br /> Oa%19.'OS 1_:�0 PLYt1�l.�i ii COh1M�N t T'Y D�'Jc!OP;tEraT 3 976�4?3��5� N0.�5� G;�
<br /> .Part S. ]DEPRESSURY�.�TIt�N' �ROTECT�pN
<br /> Che;k aplinn uscd: Q Fuel CUft�ing equipment (completc schedulrs bcicw
<br /> ) Q No fuet buming caatp�_nt
<br /> Tt��sTRurr[oNs , EXHAU5fi.l�M�KL�=iTP AYK -
<br /> __� ,.�'-::,:.;��=':.SCHF.biJLE*..
<br /> Scep t_ Compi.to thc Comaurion Lgufpmen[Seh��ule belo�r. �,�ly equiFmcn� Exheust devic_s over 300 cCm . p�o��
<br /> t.•ith a Y(Ycc)may b�scicctcd under tlie"Cstegory i"uticcneF�. efm
<br /> .:cap 2. Compl:te:arlrJurdAlal;�-r�Airsclredule on:hc righc if dirrc�or rnwer cfm
<br /> v�ftd pt salld Ilu)awosphdeic vtnt sp�c htatitl�+equipment i5 Seic¢ted. cfm
<br /> -_ -- _ :`� :;;�r;�- - -- - ������:+cor�B�JSTI'ox:��UZPh;s�NT s�nuLE�� -_--- . .
<br /> �:�I '='�^�a ^ • •.7�' =�.A:_.. '.�.
<br /> ;ii�1R.��r.-:•-��f��. 'r_'4 -��.�"'•:C:.�.ti -i.�� y"�S.�. --.a.. `.I'S"._', `,;��7•r-�-• —.'�.�'. � . - .
<br /> � �' . -. vl(n�; ¢�,+'.'�' ',r,��,�r�rM1'���.�r.S ���d�. ::..,":;�.a.I'w•�.�•':.:II�IL��`M`�'�•�1:�"�:��•.,.�.... .
<br /> :��ce h'eating.-nonsoGd�el ;� Scalcd combustion •;Y: - . .
<br /> ;:;�--. _ ^r,,. :., �i - t�aesh 'no,�solid fuct==:�. a Seated c�mswnioa Y
<br /> =�� - �- .•- �•;; Dir�Gt ot awer vtr.ted :���`
<br /> .. 'l�:: . . . . . � .;�- +.-
<br /> �`�,;:�•,;." - -:�-:���i'� . . , __.?��:_ Difecs nr yower�:nted Y .
<br /> _,<���:�:::!,"�.�i;�'...'� _ :�r:.<A�nos�+h�cully�vms�d:'er.-:- �N.:� ; .. . .:•',� .:.�;�....._., .
<br /> `.��attrhe�da _•. � . . . .. -:'"1�;--'�`::Atmbspheriralty ven�r,3 T;
<br /> g-,)i0ti�oli�fuel SzakC eomb�stion 'v_• 6pace heating-so4d+;id..�::+r ❑ Acmosphericaliy vmtcd y•
<br /> �2��:•��.�'.'��,�,�� Dircct or pow�:r vt:lte� _��> �Var.,r Reatfn solid fue-�~
<br /> . : '.�;:���" g- I.`..:_ Ac.'t�osDhcrica�ly•r�ntcd Y
<br /> :-.•_,r-- -. -�.-;::;'s_;•�• '-"- ".+r.Aunosphe`.t�"dIy..y<oitd.r.:'_. � N-�= Hewth-setid�fuel;�.;.:,,t --:,� Almospke:icEllyventcd �(
<br /> '..`�If-BlmosryhErc�ly'T e'►leQ solid fu�l_ordtmt nr<power v_;tsed n�solid f,,al;��ne�;na�s�as�eii�a;,th m m�ke_up 8!t to mstr:i flow is r:quir�i
<br /> "��ch iri3iy;tiu�.:.�}ieust dev,��.w�iich ez�300 et1Di:�feet.-pe:ninu:e. � - - - - ,
<br /> �'art C1. '�I�7f'�L�T�t�N f/I/�'�� ��,�"v � /����l��
<br /> - - - ' :�,-� '';�,�+,�,,;.:.,..�ENT11,.A"�iOIY�UA?�Tl'11' _ . :
<br /> , .. , ., ---:�.._, ...::..z. �.r: �;•a:;4�t�'.-..su::.�:.. _.. . . . .
<br /> _ (Mec:�onieat vcntilq�tion must b�pro�id:d per etie(d��er quer�tity cxlcu�stcd beiou�) !
<br /> � O pOQ �c�:bie Ceef z d.Opg�/minute--+o, (�• ..�. .�_%(m (.� r 25�im/bedrnom}+35 sfm= � cCm
<br /> ��ium:o hshi;s�le iocf*s ' .-- . • -_:,�. ""�"��'• ... , .. .. . .
<br /> -�:i�..:•... __ num:a of bdrocros .
<br /> -, - �- . - - vE[`tTILAT]p.1'�'AN SC1iEDULE
<br /> _ - ,:; , ,.. ;':�.�.:;: _ :.'
<br /> _nccl��c;fiod(s)'nr�pos:d � �. � �O �?zhaust onl � Batanced (h;_t re:o�Cry��nti:a[er,air txe.har,�er,ctc.) �
<br /> =n d�.scr�p:iaa or l�cac�on -3 . �. 7��,;T.�!5
<br /> •'=NZti-hT1RN {ptsl:e d cfrn chr: ( cfcn .im :ri
<br /> -S D�SIGh'�D L•xh_est :fm � ,im I c .
<br /> `'�m �rm I C9 c:rr.
<br /> ::at-ment af C�t���t,ynce: 1':�e prepostd building ��ci�h reptcsc�tcd in tnaae do:un,nts is consis�ent �viih thz buildir.e plsn� spaeif:��;ic:�t=. _��
<br /> :.her eaJGlaticn�snhf:�icted ��•iin the permit��n);�a1,an. ThG propo,,ed ou�lding l:y;b;,n dcsigr,!d to meU:he rcquiremC�15 of lht 1v:inntp�;�a?:c:.-r.
<br /> ;�d:. _,
<br /> .oplicant(print name). Sibnnture G��: �
<br /> T.Jephorc a�nter
<br /> 'ar� Cz, �ENTILATI�� (Suhc�it?'ort CZ upon Comnletion oi;ystem verification i)
<br /> � -----------------------�--- ------------------=------_�--___�---------_.__ . .
<br /> ;a Site atldtess: _ Permit'vumber
<br /> "=t;:dsscr'ipLon or.lo�tioR.
<br /> �=�'.S�p . ._:.. _ . 1�.a�ce ' TO'i.a.l.5
<br /> c � � -:T� I �.cf,n::� �m�._ cfm
<br /> _�.Q�AiCC_r, � EahP:x4 .. _'cfm cim;�l : �, cfm c m
<br /> Vrnuletior.race mp;c be mtasurd and verifi.�o:wbea th: erfarmeac�a c;en i��scd in licu,of ti�e n r e s c r :i v e o p t i a j�'1 o r:h e s e a)i n g o f j o�m s�,�S e
<br /> bvil iu'ng conGLiosi�d v�vcLnpe(froni Pen A).�"���^, .P,. = P .. • ` . _- . - - -
<br /> �. .-....�:...� �:�-�.:: ... ,. . . , .
<br /> ��,Y_-=' . .,.x� ' ;"' :' .;.• '• . ':"�. . '�-.7�� :.^..�:... � � '. .
<br /> -��p���ott Statement: Jns.slted�entilui�on;ystem is in eomplia�iee w�i1�14C:Lr,���Codc ana j5 Si2et1 to p�ovidc thc dcsiga air p�w.
<br /> �n:'scar,t(pr�m name) Sig�,oiurc � D�te � TeltAlione n�m5,�r�.—
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<br /> �:C��.�u� i��tl.i. ��iviiiliil ti�,�` "IniT��"7'T �ACR�b�:�L ��� r'�S.ii i.fi�o3;�.'..'ri::
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