Your Name
Business Name
Address
City/State/ZIP
Phone
Fax
Email
Floor Space Available for water heater
Existing Vent Size
Combustion/Ventilation Air
Smallest door opening to water heater area
Clear ceiling height
Type of fuel
Average total monthly fuel cost (includes heat and dryers)
Units (therms, gallons, etc.)
Existing Water heater(s): Brand / Age / BTU/hr input
ExistingStorage tank: dimensions / age / insulation
Existing Steam Boiler: Brand / Quantity / BTU/hr input /Horsepower
Brand/Model of washing machines
Quantity of washing machines
