Multi-Family Housing Energy Retrofit Form
Property Information
Property Name
Address
City
State
ZIP Code
Total Number of Units
Year Built
Contact Information
Contact Name
Email
Phone
Energy Retrofit Scope
Type of Work (Check all that apply)
Insulation
Windows/Doors Replacement
HVAC Upgrade
Lighting Improvements
Water Heater Upgrade
Appliances Upgrade
Other
Please describe the retrofit project
Current Utility Info
Electric Utility Provider
Natural Gas Provider
Annual Electricity Usage (kWh)
Annual Gas Usage (therms)
Additional Notes
Comments / Details