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<br />California-Friendly Model Home Pilot Program <br />Customer Database Information <br /> <br />E:.:hibil H <br /> <br />...j..\';,,:t.t.. <br /> <br />Agreement No. <br />Date of Report <br /> <br />Agency <br /> <br />For actavity occurring between <br /> <br />Item Total <br /> <br />Part' ProjoGt Information Part UI California F....rid'Y ADOI.i:a~. Fi-Uunl$ and Qevice.. c.Qnt'dl ., <br />Builder Name 3. Wea&her-Baaed. CotW_ '. <br /> . ~.:. <br />~Man~Jl~f Manutocllnr <br />Pro' Name -.. <br />Loca'on No. ConItotlecs <br />rraet Number No dStatioos. <br />Total NUmber of CF Modflls Purdla.. Price <br />Pan II MOdel Homf Part IV CaJifomifl Fri&ndty Landscapin . <br />0 0 L IIIkmIlm ~:2 00& '" .;,?.t;.~ra:;~ .1'.... ~Sc.iI..:'~..,"', <br />Plan No <br />Addr8is BwiQer's OeilQt\er <br />0 Dale CFWf Pian ChP. a <br />Estimated Closil1 Oate ~ faCF ~m <br /> . . of ad $. <br />Part III California Friendly A UaRCes, Fixtu.... and Dwices ..... """"... '" <br />l~trOPOIt~~ reqUIres g w~ 1gencle$: an on... .....,!CO""".. ...".", .~_""" PART V. Cak;u~tion of Estimated California FriendlY Incentiv. <br />of u~poned devlCe$..l <br />1. Hi h Elficien Toilets p"",,, CfMII.... """ 10 $2.500 eac.i1 <br /> Total number of toilets <br /> T)'pa Dual-Flush Todet or 1 0 Gal Per Flush No, Proara.m Element Incl!n.{J.'.~ <br /> HJgh EfOOency T Diiets Ouat-Flusn Of one.g3l.oo per fll.o$fl Wri';i1 .., <br /> Manl.llac1.ure 1 UirMurll\5 Sl:':..r.: <br /> Modal 2 HlQh EttlCloilncv CIOl1'le:50 WaDt\e1 6 v Wa.tef Fa.:;c.r LUT.,t one $0100 "'. <br /> Price 3 vveather-Based IrngallCrfl Cdmn:xl8r 5200 <br /> , Cal,f~m,a F fn!ln.:r, l...n;)~ Imus! c.cm~; ,^,tn ~cn~~.f'':a~. :;.(",<>. ;0 8D,~'1'" <br />2. HiQI'l Efficien Clothes Washer <br /> (MocfeI& Imm ha...e a WaiN FaeIor of 6.0 (l( leu <br /> Manufacture <br /> "'_, <br /> WalerFactor <br /> Purchas.e Price <br /> <br />Method of Verifu:.aUon <br /> <br />Filed by <br /> <br />~ltify u-.. information prOvided has bee:n ventla-g. <br />