HomeMy WebLinkAboutBuilding Miscellaneous 1985-1-28
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Springfield Utility Board
ACCOUNT Nr:2:k1l- oaq {;XJ'
INSPECTION DATE /-2.8-8~
INS PEer ION FORM
AUDIT DAT~
TIME ;rOD INSPECTION NO.
INSPECTED BY 2l:>
REINSPECT ION DAT~ TIME
CUSTOMER'S NAM~f2i)t0 Me(jo.E.+
ADDRESS IQ35 faJl?IJIP{.LJ
ZIP CODE
HOME 'l ~
PHONE n-t{;;c.R
LOW INCOME
BUSINESS
PHONE
(NO. OF UNITS)
BUILDING TYPE
KWH SAVED
PREVIOUS INSTALLED MEASURES
I
INSPECTION NO.
OWNERS NAMF
INSPECTE 0 BY
SAI\.J\Q.
ADDRESS
STAT"
OWNER'S PHONF
ZIP CODF
ALL MEASURES COMPLETED
CHECK TO O/C
PREVIOUS REIM. TO CUSTOMER
IAQ SUETOTAL
I MEASURE
I STORM WINDOWS
I PATIO/FRENCH DOORS
I WALL INSULATION
t.CEILING INSULATION II ""OED
r!). FLOOR I NSULAT ION
I WEATHERSTRI P
DOORS/WINDOWS
I: CAU LK I NG
SEAL DUCTS
I DUCT WRAP
I CLOCK THERMOSTATE
OTHER
TOTAL
AREA
.
Q6o!l
96flp
COMMENTS:
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1
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I
I
Ii
llNSTALLED MEASURES APPROVED
FOR REIMBURSEMENT BY:
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KWH
au
.2D~
111/.00
r
~ TOTAL REIMBURSEMENT_J
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DATE:
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