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Property Occupied by Tenant
Property Occupied by Owner
Site Built Home
Manufactured Home
Commercial
Multi Family
Electric Storage
Electric On Demand
Heat Pump Water Heater
Gas Storage
Other
Gas On Demand
Existing Clothes Washer Status Functioning
Existing Clothes Washer Status Non-Functioning
Existing Clothes Washer Status None
New Equipment Documentation ENERGY STAR
Water Heater Electric
Water Heater Gas
New equipment Documentation Receipt included
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Clothes Dryer Gas
Existing Clothes Dryer Status Functioning
Existing Clothes Dryer Status Non-Functioning
Existing Clothes Dryer Electric
Existing Clothes dryer Gas
Existing Clothes Dryer Status None
New Clothes Dryer Documentation ENERGY STAR
New Clothes Dryer Documentation Receipt included
New Clothes Dryer Documentation Before and after
Existing storage water heater status functioning
existing storage water heater non-functioning
Existing Storage Water heater Electric
Existing Storage Water Heater Gas
Existing storage water heater status None
New heat pump water heater documentation ENERGY STAR
New heat pump water heater documentation Receipt included
New heat pump water heater documentation Final permit
New heat pump water heater documentation Before and after
Existing Natural Gas Range Status functioning
Existing Natural Gas Range Status non-functioning
Existing Natural Gas Range Status none
electric cooktop documentation Receipt included
Electric cooktop documentation Final Permit
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Electric cooktop documentation Before and after
existing pool pump status functioning
existing pool pump status non functioning
existing pool pump status none
New pool heater receipt
new pool heater permit
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Signature HereClick to Sign
04/09/2026Click to Sign
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Additional Signatures Required

Final permit, if applicable Click Here to Upload
Before photos, if applicable Click Here to Upload
After photos, if applicable Click Here to Upload
Additional document (optional) Click Here to Upload
Additional document (optional) Click Here to Upload
ENERGY STAR proof, if applicable Click Here to Upload