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FROM :SO`17H ME-CHAN-CAL FA.X t'10. :35-2 492 2444 May. 06 20L3 11:.*A I` <br /> 03/33/01 PRI i.a:32 FAY $314302302 INVE1t laov>E' HTS CITY SAL iir°y'i.4t: <br /> Part Be DEPAESSURIZA'TION PROTEC TIOn I �,pt t <br /> CWk option Used: 13 FM bunting etlaipmetu (etttttplme Whl dult$bclww) 0 No fuel <br /> INSTRuCTMs <br /> Step 1. Complete the Codrbuulln E'gWPMen(SaAathrla below- Drtiy equipment <br /> vft;bi.�StEf; Q?r., ,i+•i ji• r <br /> with a Y(yes)may be sotected tinder the"Calory 1"alterntto- <br /> Step 3, Camp" Sc/aaMe on the right if direct or power t_ <br /> vtnsed or volid fuel fillne 7haric werl apace heating cgttiptnent s selsated, <br /> • t�?1Yj8US,�)�1•L •AKjsdtl7 SCHSlR1:llile'; <br /> {clleckoll W) ' <br /> i albEtttlir¢r9a f Sealed combustion #Ityt E nor ld 1a1Yri a Saa'ed cambuaticn Y' <br /> Direct Cr power vetaleel IV.� � Dirtvti or awe;vented107 -N <br /> Y' <br /> �tE• Atitc '6tatical1vented AittmSphdr A . <br /> sting's a 1116 ❑ Settled eombvstiet► X heaUo� °yoht$ tri, Abnmt herieaii vented Y'.. <br /> Direct or <br /> Power vaned vetlted "'Y <br /> asplio# vent 1N TlcniKh—s . <br /> sl Atrnot)'heritali vented <br /> i <br /> iatmosphec GlTr,,vi*d:golid'.ittal.or "I or power VAR14164ottso46 fui:i spacq brolin='ta in ta;lcd,theri•;valCtr�ip' sq nagf <br /> 'l4owis ocd'1'i�iscn�+ndivadtiii##':tsxfiaa>s�devicowhich:exctedx;300'attbic•fa�t• .,mlautra:,. • <br /> Part Ci. VENTILATION <br /> ViliNraA7,T01% L1AKTITY <br /> '. ,,...�.bchaaira�,ventilauian mus!tie pro4iQad.ppCr the latgar qut,aEl:y caTcuiar.:t be?sew) <br /> Wl:lfir lt'tM:i1Q'5 ;t1M1M1(e '► .C(1h (.� �J 11:11S:4tn/bedroom)+ ts'ett»+, r _T� OfIN <br /> vo of halrita6ti,i0ahaa, numatn <br /> number of bd6os r <br /> f V N PA;F S,CitFDVLE: . <br /> , t►tpd( '+ G t5chaust oUly y &Flalaoced(hm recoveryyc�t:' 'or caC'1wndLr,etc.) <br /> oil t� <br /> TOTALS <br /> �. ,. 4' efm. iftri r. cr } efin <br /> 'a,�'�:�t r' � air' � i;Nt•'t �im, <br /> Sleftwent of CompNantit- The propoW buil d s ted,In there documents d consistent with the bv0ding plead, <br /> speciricatians, ,tnd other cakulations submitie a Ica' . The proposed buitd re net Leat designed to meet the <br /> requirements of the Minneso"Enargy Code, <br /> Applsamt(print name) 5iptatttrt Hate 'reiaphonne Hutt,bor <br /> Part Ci• VENTILATION (Submit Part C3 upon completion ur systcnt veriliestlont) <br /> x-------_------------------------ -------------------- ,------- ---------- <br /> Job Site Address: PC;•11111 Numbur � <br /> :atm c i cf+TM:, <br /> Mb <br /> cft1T dt :: 4f ,:: <br /> t Vennlatiotr:xatre;gsisert.be <br /> pe,lkaaa a very K when the -fott %nCv Cion is USKi;S W]I1 el IIiC'prC'3t1'ipYiwe'B t}Di1 07 theoftijdg <br /> dint itr:jAe%' «eottditlamledTemntopr from pest.A.), <br /> CoatpWUCt Statrawt: InMIIW ventihttiotl systcm is in compliance with WN Enugy Cade and is slzed to prtividb the da5igo alr flaw, <br /> Applicant{prhu name) SigrrgtUt! -- Oak T�Jsphone number <br />