HomeMy WebLinkAboutPermit Field Test & Inspection Report 1984-11-20t\
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INSPECTION FORM
AccouNr *o I lA - leGae AUDIT DAT E t,-5-
INSPECTION DATE
REINSPECTION DATE [-]-c la
cusroueR's NAME
ADDRESS 1U u A.ra L th
ZIP CODE 9lqtt
,,*.lDA rNSPEcrroN No.
,,r, 9A^ rNSpEcrroN No.
o\INSPECTED BY
INSPECTE D BY
OWNERS NAME SArna
STATE
HOM E
PHONE 1117 -',|qL5 PHO NE
BUS I N ESS
Low rNcoM e -b 5UPi3[*3*l\t'l I
OWNERS PHONE
-ALL MEASURES CO
PREVIOUS REIM. TO CUSTOMER
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T*\$€FLOOR INSULATION
WEATHERSTRI P
000RS/wtNDows
CAU LK I NG
SEAL DUCTS
DUCT WRAP
CLOCK THERMOSTATE
OTHER
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COMMENTS:
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PREVIOUS INSTALLED MEASURES
SAVED
MEASURE AREA KWH
STORM WINDOWS
PATIO/FRENCH DOORS
WALL INSULATION
CEILING INSULATION
R.AOOEO
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INSTALLED MEASURES APPROVED
FOR REIMBURSEMENT BY
I
DAT E
ADDRE SS