HomeMy WebLinkAboutPermit Field Test & Inspection Report 1985-02-14.--
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Sprin gfield Lltility B o ar d
INSPECTION FORM
AUDIT DATEACCOUNT N
INSPECTION DATE
REINSPECTION DATE Fe-[:trl
cusrouen's NAME OWNERS NA
ADDRESS o ADDRE SS
BUSINESS
,,r.QL tNSPEcrloN No.
rrr,,te 9 FF tNSPEcrloN No.
OWNERS PHONE
INSPECTED BY 20
INSPECTED BY 2
ZIP CODE
8335.'1{_1__lld.L PHONE
LOW INCOME
( NO. OF UN ITS )iiji-tDir.16"rip'e ALL MEASURES coMpLETED-cHEcK To o/c
IAQ SUETOTALPREVIOUS REIM. TO CUSTOMERKWH SAVED
PREVIOUS INSTALLED MEASURES
CO ST REIMBURSEMENTKWHMEASUREAREA
tQroLrro* wrNDows
7)LSro'ozFRENcH DooRS
WALL INSULATION
2-?/ P
.6.o0* TNSULATToN tteo /t/c6//{rWEATHERSTRI P
DOORS/WINDOWS
ZOCAU LK I NG
SEAL DUCTS
DUCT WRAP
CLOCK THERMOSTATE
OTHER
TOTA L
TOTAL REI MBURSEMENT
COMMENTS
(
,l
INSTALLED MEASURES APPROVEO
FOR REIMBURSEMENT BY DAT E 2
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