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Part B. DEPRESSURIZATION PROTECTION <br /> Check option used: O Fuel buming equipment (complete schedules below) ❑ .No fuel buming equipment <br /> INSTRUCTIONS <br /> ,Pj+� <br /> � Y_ <br /> Step 1. Complete the Combustion Equipment Schedule below. Only equipment <br /> with a Y(Yes)may be selected under the"Category 1"altemate. <br /> Step 2. Complete FxhousdMaJce_up Air Schedule on the right if direct or power <br /> vented or solid fuel atmospheric vent space heating equipment is selected. <br /> Sealed combustion �Sealed combustion <br /> j� Direct or ower vented <br /> Direct or power vented <br /> ealed combustion ,�Y Atmo herically vented <br /> Direct or power vented Atrno herically vented <br /> Atmos heri ly vented <br /> Part C1. VENTILATION <br /> Y <br /> fav' _ <br /> �� <br /> a <br /> _ ^` <br /> Exhaust only Balanced (heat recov ventilator,sir exchan er,etc.) ��'�' <br /> o a:;: -.:�� <br /> r..�.� J^^ r✓� r;�::::" <br /> bc� "` <br /> . <br /> _ t� .,.. <br /> c� � - <br /> Statemeat of Compllance: The proposed building design represented in these documents is consistent with the building plans, specifications, and <br /> other calculations submitted with the permit application. The proposed buitding has been designed to mat the requiremenu of the Minnesota Energy <br /> Code. <br /> Applicant(print name) Signature Date Telephone number <br /> PRI`t C2. VENTILATION (Submit Part C� upon completion of system verificationt) <br /> �---------------------------------------------------------------------- <br /> Job Site Address: Permit Number <br /> �_ <br /> �. c .,f <br /> _ , ,,. <br /> .. <br /> �:,: <br /> �t �. <br /> 'n` <br /> Compliance Statement: lnstalled ventilation system is in compliance with MN Energy Code and is sized to provide the design sir flow. <br /> Applicant(print nsme) Signature Date Telephone number <br />