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HomeMy WebLinkAboutPermit Building 1985-1-28 . ( . <6SOll \ Springfield Utility Board ACCOUNT Nr:2k.f', - oaq {;XJ) INSPECTION DATE /-2.8-8~ INS PEer ION FORM AUDIT DAT~ TIME ;rOD INSPECTION NO, INSPECTED BY 2l:> REINSPECT ION DAT~ TIME CUSTOMER'S NAM~f2i)t0 Me(jo.E.+ ADDRESS IQ35 faJl?IJIP{.LJ ZIP CODE HOME "'1 ~ PHONE n-t{;;c.R LOW INCOME BUSINESS PHONE (NO, OF UNITS) BUILDING TYPE KWH SAVED PREVIOUS INSTALLED MEASURES I INSPECTION NO, OWNERS NAMF INSPECTE 0 BY SAI\.J\Q. ADDRESS STAT" OWNER'S PHONF ZIP CODF ALL MEASURES COMPLETED CHECK TO O/C PREVIOUS REIM, TO CUSTOMER IAQ SUETOTAL I MEASURE I STORM WINDOWS I PATIO/FRENCH DOORS I WALL INSULATION t.CEILING INSULATION II ""OED r!). FLOOR I NSULAT ION I WEATHERSTRI P DOORS/WINDOWS I: CAU LK I NG SEAL DUCTS I DUCT WRAP I CLOCK THERMOSTATE OTHER TOTAL AREA , Q6o!l 96.np COMMENTS: .I 1 I I I Ii llNSTALLED MEASURES APPROVED FOR REIMBURSEMENT BY: .. KWH au .2D~ 111/.00 r ~ TOTAL REIMBURSEMENT_J J I J ~ifJ1UVIEI' .1 I I /} ?-~, ~ !)~ II -' /-2,8-8j I DATE: ,