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Home My WebLink AboutPermit Miscellaneous 1984-11-15 ('~ I . e,. . .' t'! ?J?t!rJ' ,. . . ~ ':". .' . '.' ..... Spri ngtielq'f.!tili tyBdard . ~.~ '. . , '':c :-. ~. ". '.... :'"'. . J. .-...... . '-'. " . .. .. ~ ". .- -'.' . . '. -. . .~~, :. , . . " . '-':.!" . .. . . .^ ::'.~ . , . . !-' ': - ~",',' INSPECTION' FORM:.;," .... .... ACCOUNT NO/YX{) - D9,o R~ INSPECTION DATEjArv S 1./''-' I 6 .~ '<6L/ AUD1:r DATE ,,121:1 - '" . TIMEn "-' "INSPECT'ION (9' j '- NO." '~I' INSPECTED BY REINSPECT ION DATF ~USTOMER'S ~AMEmnH \.{' . II ADDRESS IIb5 Yd-. t\JDeth ZIP COD'-<i')UII ~e~~E iLlIo-(3'Yj i, TIME" '; INSPECTION 'NO.' rnJ\;:I\lSO''''N~R5' ~'~~E ':,~J('" .R -- . . . '-:, .,,-:'." ADDRF~C: " INSPECTED BY :.-. '. 5T ATF ZIP CODE LOW INCOME BUSINESS PHONE (NO. OF UNITS). BUILDING TYPE. CHECK TO"O/C " . OWNERS PHONF . .':. ." '." . ALL.MEAS'URES COMPLE'TED KWH SAVED PREVIOUS INSTALLED MEASURES PREVIOUS RE.!M. TO CUSTOMER ,. .. lAC SUBTOTAL. .-, , ',-'. . If I .nu_n_~REA' . '-'r."'K~H"-'-'~---CO-;:;'~_R.:~BURSEM:NT ..:11 '1. I' MEASURE ; STORM WI NDOWS PATIO/FRENCH DOORS WALL INSULATION I CEILING 'INSULATIONII R-AOOEO'. I I I I I I I I I 1 .. .. '1' . '.~ '1' . . . I i FLOOR INSULATION WEA T HERSTRI P DOORS / WI N DOWS CAULKING , SEAL DUCTS DUCT WRAP CLOCK THERMOSTATE OTHER TOTAL II TOTAL REIMBURSEMENT \ 11 ,.,./",,' ,..{..-1..r.d".,., /.->'1. d,(t-.,<>tl II I: , I COMMENTS: . .- I I I .. IiNSTALLED I FOR II .1 . . DATE~.'hl;:~=1J ., . A/Jf!)<'t/...,' d. ~-~.- MEASURES APPROVED . / /J ~. REIMBURSEMENT BY: /../11 r/J~/'/>N';~;"'4/;;"