Appliances: Refrigerator Age ______________________ Size ________________ Dishwasher Age ______________________ Laundry Hook-ups Present ( ) Yes ( ) No POST-IMPROVEMENT Please complete this checklist of all planned energy improvements MECHANICAL EQUIPMENT PLANNED IMPROVEMENT Conventional Forced Air Furnace Split System Central A/C and Air source heat pumps up to 135,000 Btuh Thermostatic Expansion Valves in AC Combination Heating/Water Heater Water Heater Only Spot Ventilation and Mechanical Fresh Air Ventilation System Combustion Appliances inside conditioned space? Y or N LIGHTS & PLANNED IMPROVEMENT APPLIANCES Ceiling Fans Light Fixtures Refrigerators Dishwashers Clothes Washers
Appliances: Refrigerator Age ______________________ Size ________________ Dishwasher Age ______________________ Laundry Hook-ups Present ( ) Yes ( ) No POST-IMPROVEMENT Please complete this checklist of all planned energy improvements MECHANICAL EQUIPMENT PLANNED IMPROVEMENT Conventional Forced Air Furnace Split System Central A/C and Air source heat pumps up to 135,000 Btuh Thermostatic Expansion Valves in AC Combination Heating/Water Heater Water Heater Only Spot Ventilation and Mechanical Fresh Air Ventilation System Combustion Appliances inside conditioned space? Y or N LIGHTS & APPLIANCES PLANNED IMPROVEMENT Ceiling Fans Light Fixtures Refrigerators Dishwashers Clothes Washers