| Sales Representative: |
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| Contact Name: (*) |
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| Contact e-mail: (*) |
    Contact Phone:
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| Project Name: |
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| Project Address: (*) |
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| Name/Address to Return Information: |
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| Total Heated & Cooled Square Footage? |
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| Direction Front Door Faces? |
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| Utility Rates To Be used: |
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| Summer KWH |
Winter KWH
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| Heating Fuel Cost |
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| Type? |
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| If You Would Like for EnergyWiseâ„¢ to Recommend a Building Component for You, Please Put "EWR" on the Line by the Item.
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| HVC Brand? |
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| A/C-SEER/EER Rating? |
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| Geothermal Heat Pump? |
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| Electric Heat Pump? |
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| Gas Heat? |
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| AFUE Rating? |
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| Where Will the Ductwork be Located? |
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| Attic |
Crawlspace Basement
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| Duct R-Value? |
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| Does the Customer Have Specific Zoning Requests? |
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| Are there any exceptional loads that the customer wants EnergyWise™ to be aware of ? For example, does this homeowner have many parties, media room, game room, etc…
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| Wall Construction? |
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| Insulation Type & Thickness? |
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| Ceiling or Roof Deck Insulation? |
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| Insulation Type & Thickness? |
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| Vaulted Ceiling? |
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| Insulation Type & Thickness? |
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| Floor Type? Slab |
Crawl Space*
Basement
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| R-Value? |
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| *(For a crawl space, a minimum of 6 mil polyethylene ground cover must be used to meet EnergyWiseâ„¢ specifications)
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| Do You Want the Analysis to be Run Using ASHRAE 62.2 Ventilation Specifications? |
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| Window Frame Type? |
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| Window Panes? |
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| Window Glazing? |
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| Ceiling heights, window and door information, fireplaces, skylights and recessed lighting must be shown on the plans or separately identified on this application.
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To Process Your Order in a Timely Manner, the Plans, Application Form and Payment Must Be Sent Together!
IF NOT, EXPECT DELAYS!
energywiseâ„¢ Dealer
Commercial Energy Analysis Fees:
| 0 to 2,999 square foot |
= $300.00Â |
| 3,000 square foot to 4,999 square foot |
= $400.00Â |
| 5,000 square foot to 6,999 square foot  |
= $500.00Â |
| For every 2,000 square feet after, add |
= $100.00 Â |
| Because of the complexity of the plans for three or more levels, add |
= $100.00 to the total |
All residential mechanical drawings are engineered and overseen by Michael R. Busby, Ph.D, PE, starting at $ 0.15 per square foot of heated and cooled area. Residential plans are not normally stamped* and are drawn by hand. If you would like to have them drawn in Auto-CAD and stamped, we can do that for an additional fee.
- We are not registered in all 50 states, and we can only stamp plans in states in which we are registered. If an energywise™ dealer generates enough business in a state where we are not yet registered, energywise™ will, at our expense, go through reciprocity to obtain registration in that state.
Your energywiseâ„¢ Plan Check List:
- Set of Floor Plans, Elevations and Electrical (including door and window sizes)
- Residential Application Filled-Out
- Payment Arrangements
Make all checks payable to:            Energy Wiseâ„¢ Structures                                                                                  Â
                                                       1303 Lee Street
                                                       McKinney, Texas 75069     |
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