HomeMy WebLinkAboutPermit Building 1984-10-18
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Springfield Utility Board
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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
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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
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