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� � �����, 1 ���� � ��'������� � �� <br /> � � � �n i s� ,;�,�s ��� �. � �ir� <br /> �r ,� , j,,, . <br /> ' i�i� 4# ��� �'�a� I <br /> ~ � �� 7b' � �� �fi :SS�k Er " �fi <br /> ♦ • 1 � L � ��i �`''�' "f�� �it m •���R <br /> � � }� 1 <br /> � �i �� . . <br /> , � � , u� ��� � �� � , <br /> � <br /> i#f ` ! �3"' � �� � I�� j� ���. �� i <br /> �{�� t���`�,� f �,{ t i� w��t � i , � � 'i <br /> ._�._.._ �..._..:,....s F...r� _:i.L...,�.;�.�..-:+.:`:.,h� '' �"' �1� <br /> �'�RNi�i�€ ��SIGN <br /> OWN�R pATE �u-r G O� <br /> JOB ADORESS oZ-3 U O �r.c I/ i'ptv C e�►c !�I <br /> HEATING CONTRACTOR _ �C(P v,c �i�c. . PHONE gS�d '9V/-4'�.// <br /> BI:ILDING CONTRACTOR a��P C���//,rlj`r PHONE <br /> "The b�s�c information below must be ascertained f�om the plculations and plans approved by the Building �r�ape�tor <br /> for the sUudure to be built. <br /> "1. Square feet of exposed wall area above grade ��_ �'3 , <br /> x "U" -�7 x 87 degree design temperature. d a 9 �) <br /> "2. Square feet of ceiling area a�O x ��U�� .�x 87 /d / d'(� <br /> 3. Square feet of basement floor area �a?00 x 3.0 d �/(7 0 <br /> 4. 5quare feet of wall area below grade /�'8 x 6.0 �O�/�• <br /> 5. Lfnear feet of lnAlVaGon for wlndows �/90 x .5 <br /> x (1.08) x 87 degrees. �3 p ap <br /> 6. l.inear teet o(infiltration for doors � x 1.25 <br /> x (1.09) x 87 degrees. '�p y�, <br /> 7. Lineal feet ot infiltration for sliding doors �o <br /> x (.75) x (1.08) x 87 degrees. I C� 0� <br /> 8. Allowance for kitchen and bath fans � <br /> a• � number of kitchen fans �600 BTU each Goo <br /> b• _3 number of bath fana � 200 BTU each ��-v <br /> 9. Allowance for fl�eplaces <br /> e• number oi 24 inch to 32 inch � 1,000 BTU each <br /> b• number of 34 inch to 42 f�ch � 1,300 BTU each <br /> c• / number of 42 inch and larger � 1,500 gTU:eaCh / 3 O • <br /> 10. Total BTU loss for all above items �3 7r3,� <br /> 1�. Add for combustion air- net loss above x (.001), �'�;. �^ <br /> x (12.5) x (.075) x 87 degrees. (o�a4p ' � <br /> :...:..�...... .,......,_._., <br /> 12. Add Total (lines 10 and 11) __90 S� <br /> 13. Maximum increase allowable - Line 12 x 115% rp c,��3� <br /> Output size of tumace shall fall between Line 12 and Une 13. <br /> (This is the size fumace you should use in this structure, the code does allpyy ypu tp uae the neut size <br /> available) providing that the appropriate equipment is not readity available. <br /> The undersigned, as apof���! !��s nea�ng pertnit, hereby affirtns the above infoimatlon hes been preparocl by and/o� <br /> for himse!�, a under his direction; hereby acicrww;c�;As the fn(ormebon to be a3rrod arb aopu�te, and h�eby <br /> �resents this iniormation with reqs.�r�,i plans in support of the HeaUng Permit Applic�tlon, <br /> Proposed f��rnace size (Input): _/o�. Oqp (O��):__�(0 000 <br /> Proposed furnace model number G�a� h S-/ob proposed fumace make LeyHax <br /> . � <br /> Date /�'�G r �o �0/ Slgnature / <<�� �� <br />