Energy Audit                                                   Application FormApplication Deadline: August 10, 2012City o...
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City of Danville Energy Audit Application

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Due to an Energy Efficiency and Conservation Block Grant received from the Kentucky Department of Local Government, the City of Danville is pleased to offer an opportunity for commercial property owners in Danville to complete Energy Audits on their buildings at no cost to the property owner. If you currently own a commercial building that is more than 40 years old, you may submit an application beginning Monday, July 30, 2012. Funds are limited and applications must be returned before August 10, 2012, to meet the City’s deadline for this Grant.

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City of Danville Energy Audit Application

  1. 1. Energy Audit Application FormApplication Deadline: August 10, 2012City of DanvilleName of BusinessAddressCity ZipPhone Number Fax Own or rent the facility Own Rent/Lease (must provide owner information) Normal, daily operating hours Total occupants during normal operations Total square feet of the facility Year facility was constructed Has building ever been renovated? If yes, year of last renovation Fuel source used for: Heating CoolingContact InformationContact Name TitleContact Phone Number Contact EmailOwner InformationOwner Name Phone NumberOwner AddressCity ZipCompanies who wish to take advantage matching funds are required.City of Danville is offering a low interest 5 year loan to be applied towards implmentation.Report DeliverySend Audit Report to:I authorize Earthwell Energy Management, Inc. to conduct an Energy Audit of the organization listed on this formand provide me with an energy savings analysis. I permit KU to provide Earthwell with all utilityinformation (usage and cost) for the past twelve months. This is a service offered by City of Danville and you are not required to pay a separate fee to receive this service. Authorized Signature Date Print Name and Title To participate in City of Danville Energy Audit Program, complete, sign and fax this form to: 1-502-587-8272 For assistance, please call 1-502-587-8447

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