Building Survey Form:
Tab or Use Mouse Between Fields (Use mouse to Check Boxes
or Radio Buttons).
|Type:||Thickness (inches):||R-Value: (R=1/U):|
Useful Conversions: #mm x .03937 = #Inches
Utility Information - Water:
|Water Source to be Used:||Water Costs:|
|Waste Water (i.e.:Chiller, Processed, etc.)|
|Estimated Pressure at Ground Level:|
If water costs are unknown, please provide the
Water Company and Phone Number:
Utility Information - Electrical (If the Area to be cooled has existing AC):
Cost/kWh (energy charge):
Cost/kW (demand charge):
Note: If rate schedule is complex, such as on-peak, off-peak rates, please include a copy of the rate schedule.
If utility costs are unknown, please provide the
Utility Company, Contact Name and Phone Number:
Present Environment: (Area to be SprinKooled):
If Facility is Air-Conditioned:
|Type of A/C:
RT Package Units
|What is the TR° (design temp.)?
|Can existing A/C units meet TR°? Yes No
Age of A/C: Years
Current EER of A/C:
EER of A/C when New:
If Facility is Not Air-Conditioned:
|What Temperature do you normally see during the hottest part
of the summer?
Any Additional Comments:
Print and Fax to:
|Mail Printed Form To:||Telephone Number
Attn: Building Form
P.O. Box 326
Killen, AL 35645
Send mail to
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