HomeMy WebLinkAboutMiscellaneous Correction Notice 1984-11-13
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Springfield Utility Board
INSPECTION FORM
ACCOUNT No,8~ - \ (,..,u90
~ OATE.... \ At-. , "1 TIME
AUDIT DATE
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REINSPECT ION OAT"
CUSTOMER'S NAME! t nl-TpfC>
ADDRESS 1.1f)S-., c::.., ~Y'?-l-r--.
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TIME
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INSPECTION NO,
INSPECTION NO
OWNER'S NAME
INSPECTED BY
INSPECTED BY
_<::A n1-Q.
ADDRES~
ZIP COD"
~~~~E~/~
LOW INCOME
BUSINESS
PHONE
(NO, OF UNITS)
BUILDING TYPE
STATE
OWNER'S PHON"
ZIP CODE
ALL MEASURES COMPLETED
CHECK TO O/C
KWH SAVED
PREVIOUS INSTALLED MEASURES
PREVIOUS REIM, TO CUSTOMER
IAQ SUBTOTAL
L
I MEASURE
I STORM WINDOWS
I PATIO/FRENCH DOORS
I WALL INSULATION
I ]1 RoADDED
CEILING INSULATION
I FLOOR INSULATION
II WEATHERSTRI P
DOORS / WI N DOWS
I CAULKING
I SEAL DUCTS
I DUCT WRAP
I C LOC K THERMOSTATE
I OTHER
I TOTAL
COMMENTS: bvLl /- i-
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TOTA L REI M BURSEMENT I
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I INSTALLEDIMEASURES APPROVED
~OR REIMBURSEMENT ~y:
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DATE: