HomeMy WebLinkAboutPermit Field Test & Inspection Report 1985-01-21tf,{Ifot
Sprin gfield Utility B o ard,
ACCOUNT NO ?-h
INSPECTION DATE
REINSPECTION DATE
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LOW INCOME
AUDIT DAT E
T IME
TIME
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INSPECTION NO.
INSPECTION NO.
/INSPECTED BY
INSPECTE D BY
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ADDRESS l-g owltEn's ruarr,,leM
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ZIP CODE
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-( NO, OF UN ITS )BUILDING TYPE ALL MEASURES coMPLETEo cHEcK To o/c
KWH SAVED
PREVIOUS INSTALLED MEASURES PREVIOUS REIM. TO CUSTOMER IAQ SUBTOTAL
MEASURE AREA KWH CO ST REIMBURSEMENT
fi"ro*, wrNDows 2s-oZ
PATIO/FRENCH DOORS
WALL I NSULATI ON
L cE tL I NG TNSULATTON
R.ADOED tst d /o77
)fLooR TNSULATTON tst d zsz4
' wEATHERSTRI P
). ooons ,/ wtN Dows 297 th s8
CAULKING
SEAL DUCTS
DUCT WRAP
CLOCK THERMOSTATE
OTHER
TOTA L
TOTAL REI MBURSEMENT
COMMEN I L
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DAT E kzpSr
INSPECTION FORM
x
INSTALLED MEASURES APPROVED
FOR REIMBURSEMENT BY: