Efficiency Works
Assessment Application
Platte River
Power Authority
Estes Park
Light and Power
Fort Collins
Utilities
Longmont
Power & Communication
Loveland
Water and Power
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Assessment Scope
Areas of Concern
(optional)
Property Address
Mailing Address (if different from site address)
Street
Street
City
City
State
State
Zip Code
Zip Code
Primary Contact (Utility Customer)
Property Contact (if different from Primary Contact)
Name
Name
Phone
Phone
Email
Email
Relation to Property
Relation to Property
Business Name
(if applicable)
Business Name
(if applicable)
Referral Source
Service Providers
Electricity
Water
Solid Waste
Natural Gas
Recycling
Property Details
Primary Space Type
Date Built
+
Date Occupied
Recycling Method
Building Area ft²
Composted Material
Irrigated Area ft²
Systems and Equipment
Cooling System(s)
Major Equipment
+
+
+
+
Heating System(s)
+
+
+
+
+
Primary Controls
+
Alternative Transportation
Methods used include...
none
telework
carpool / vanpool
electric vehicle
public transit
bicycle, skateboard, etc.
Comments
Submit
Platte
Pl
River
Power Authority
[email protected]
Estes Park
Light and Power
[email protected]
Fort Collins
Utilities
[email protected]
Longmont
Power & Communication
[email protected]
Loveland
Water and Power
[email protected]
08/2015