| Name: |
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| Address: |
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| City: |
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| State: |
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| Zip Code: |
(5 digits) |
| Phone: |
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| Email: |
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Electrical Service:
Size of Panel (Amps) |
Amp Panel |
Is there room for an a
additional breaker? |
Attic Fan |
How much is your typical
monthly electric bill- summer? |
(excluding gas) |
How much is your typical
monthly electric bill- winter? |
(excluding gas) |
Home Environment:
What is the square footage
of your home? (approx) |
|
| Do you have Central Air? |
Yes No |
Do you have window units,
Air conditioning? |
Yes No |
Does your heating incorporate
a circulating pump for hot water radiators? |
Yes No |
| Do you have a heat pump? |
Yes No |
| Do you have geothermal? |
Yes No |
Identifying inductive loads:
Do you have... |
|
| A Pool? |
Yes No |
| A Hot Tub? |
Yes No |
| A Pond? |
Yes No |
| Whole house or Attic fan? |
Yes No |
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