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HomeMy WebLinkAboutPermit Building 1984-10-18 (pi -. Springfield Utility Board . , rtfIJ ttJtj' INSPECTION FORM ACCOUNT N0311n- L8'?,':l.Q /J133"6'i5 INSPECTION DATE~~~t:r'l INSPECTION DAT~t-J I D TIME CUSTOMER'S NAMF STREET C{uC; - qS\ 10. l'lDlJeRJOOC CITY \:dh. JJ\ '\ AUDIT NO, AUDIT DATE ID:"IR-8LJ INSPECTION NO, I INSPECTED BY 0 ,- INSPECTION NO. z.. INSPECTED BY OWNER'S NAMEG--o.'1PS STREET ~, f) ~\l, ZIP CODE q.,1.J 01 Lr ?~ \'" Sho..rrnd ' ~\Ia STATt" PIe HOME PHON" BUSINESS PHONE LOW-INCOME (NO. OF UNITS) BUILDING TYPE CHECK FLAG (O/C) ALL MEASURES COMPLETED I MEASURE.J I S/WINDOWS I PATIO SLIDERS I WALL INSULATION I CEILING INSULATION I FLOOR INSULATION I DU~_T INSULATION LM,AJOR MEASURE SUBTOTAL I WEATHERSTRIP D'JORS/WINDOWS , I CAULK ING I SEAL DUCTS I CLOCK-THERMOSTAT IINSULATED DOOR 10THER-- 10THER I TOT~L AREA KWH- SAVED COST INCENTIVE ZZ4t1 2-Io/t. I L. I, ! , \ >':',1 '.... . , I 4 / t-'- 1/ b ~ I L_ ~ ......... .,';,..\" ~ I I I I I I l~~~ 1"\C.IIVlOUt(~t.Mt.NT COMMENTS'....,7~"'~G 9#9 - - q~-/ ,~oLa/,l"o./(~,'tI""'; ILL1 J hrd~.....,..;"""'-...(,V,(M1a..U~ Jl~) I ' I I I I ( ) ___ A~t/i!I) tSTA1fo:E~e/J~~~~v1o ././1, 1,/YYJ,,_J,' ~7~.-A~ FOR REIMBURSEMENT BY,_ > f."V~ ----.~ -. - / " fcI ..., -:L j,...I." I I[ DATE~JI/O/rf~ . .