Energy Wise Systems

Is the solution to all your energy saving needs
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CONSTRUCTION SPECIFICATIONS
ENERGYWISE APPLICATION

Apply for the EnergyWise Program
Please fill out form below and hit the "Submit Your Form" button.
We will contact you as soon as possible.

Referred by:

Date:

Customer's Name:
Address:
City/State/Zip:

Phone#:

Fax#:

Direction Structure Faces?		HVAC Brand?
A/C SEER or EER Rating?		GEO Heat Pump(s)?
Air Heat Pump(s)?		Gas AFUE Rating?
How Many Zones?
Vaulted Ceilings?		Where?
Insulation R-Value?		Flat Ceiling Insulation?	R-45 Cellulose Other?
Recessed Lights?		How Many?

Exterior Wall Construction?	ICF SIP ThermaSteel Other	Exterior Surface?
Common Wall Insulation Type & R-Value:
Floor Type?	Slab Crawl Space *Basement	R-Value?
* For a Crawl Space, A Siz Mill Polyethylene Ground Cover Must be Used to Meet EnergyWise Specifications!

Skylights?		Where?
Type?

Fireplace(s)?		How Many?
Total A/C Living Area?		Where Will The Ductwork Be Located?
Attic Crawlspace Basement R-Value?
Utility Rates to be used:	KWH Summer KWH Winter CCF Gas	Window Type?	Aluminum Wood Vinyl Other?
Window Panes?	Single Pane Double Pane Other?	Window Glazing?	Clear Tinted Low-E Other?
Ceilings Heights For Each Room Must Be Shown On The Floor Plans!

Address to return plans:
City/State/Zip:

MAIN PAGE
CONSTRUCTION SPECIFICATIONS
ENERGYWISE APPLICATION

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