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Efficient Construction Grant
Project Screening Application

Mandatory fields are designated with a *


Applicant Information

Company/Developer Name *  :
First Name *   :
Last Name *   :
Title   :
Email *   :
Phone *   :
Mobile   :
Mailing Street   :
Mailing City   :
Mailing State   :
Mailing Zip Code   :
Project Address Is Same As Mailing Address   :
Project Street   :
Project City   :
Project State   :
Project Zip   :

Project Description
Project Name   :
Project Type *   :
Building Type *   :
Do You Need Assistance Establishing Gas Service?   :
Heating Fuel   :
Estimated Construction Start Date   :
Estimated Construction Completion Date   :
Estimated Total Construction Cost   :
Above Code MMBTU Percentage Savings Estimate   :
Building Energy Model (if available) *   :
If Other, Please Specify   :
Building Square Footage   :
Project Description (Optional)   :
 
How did you hear about us?
Please Choose One   :
Other   :
  

You will be e-mailed confirmation that we have received your application.
If you have any questions, please contact 855-PGW-SOLVES.

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