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Exhibit B: Sample Worksheet For Energy Saving and Costs <br /> errB <br /> Wart <br /> Client <br /> Account Name <br /> Raquested Approval Cr upietit a <br /> Date Date Date <br /> (Coopritiv will And thesenergy ermservaton mimes listed below Prier approval from(Cooper.ative}fm finals is <br /> marstatory. (Age)agrees to supply(Cort ralive}vr13t total kWh sarire s for the diet. Funds will be disbursed tpon <br /> wr&tan vatioationotkWhsaved. <br /> Actual Cost <br /> Savings ti$ <br /> wertharization up to$X,XXIC n a_fm m per home Ma <br /> percentage listed redacts the percentage of the tectal home heating <br /> system that:is heated using de*ic ham.(1 kWh=3,41213TVs} <br /> .11.11 Metric water beaker replacement Must be.00 energy factor. <br /> Up to$1,000 maximum.. (332 kit&savings/wear heater} '..:gfi gi <br /> ENERGY 5'TAR+&clotheswasher replaced with Energy Star mociei_ Up to taw <br /> maatiuu a. (lid kWh i roms/ washy) •hi i <br /> R'NERGY STAR room air ccrelitioraw Up to SSOO per=Tit widhrrp i ng casts <br /> w h recycling costs_"'ATM*. cur tti par client <br /> With Recycling Sad kWh Z touts = " fit, <br /> NsvPurcgmse tib kWh a ±.,#rhzH;(iN units — <br /> ENERGIE sr R refrigerator replaced with grimy Star modal cf arptralent size. Up <br /> to$1,000 maximum. (92'7 kV&sailings/r erEm) <br /> A. Replacement of incandescent light bulbs stitb.up to&fEn gy Star CFLa inatalled. <br /> Up to$430 msaiaumm. <br /> ;49 kWh R .11 111 snots , t <br /> alAddition cif new microwave men if oriels not matt must here asr electric <br /> range,e®oktop,or oven present Up to$300. p3S2 kWh savings/crerd tt•.—On <br /> MgCentral A/C q50tuna-up. Up to$18emaximum plus any necessaryrepair, <br /> to <br /> not exceed - (106 kWh savings/tune-up)u e-up) • t: :IA. <br /> Energy Efey Rik (770 kWh.savings per kEt} <br /> Includes Faucet aerators,hot std testpraturucaad,water efficient <br /> shasehsa3,and teflon tape. Cthe•dens upmm raft;caulk,door savage,LED <br /> night lit,pipe ixst$laton,mullet gaskets,otleli safety caps. <br /> 770 kWh R% ; a'' r4-: units = <br /> «L Other EfEctemy bleasUrm and labor.(1 kWh=3,412 BTUs) <br /> 'TOTAL& '0 $ - <br /> Addainiatrdim Eva I l $ - <br /> TOTAL FUNDED A%IDMIT <br /> / <br /> 8 <br /> 85 <br />