179D EPACT Request for Tax Benefit Qualification

Personal Information

First Name: *

Last Name: *

Address: *

Address Line 2: *

City: *

State: *

Zip Code: *

Phone Number: *

Email Address:

Project Information

Project Name: *

Project Address: *

Address Line 2: *

City: *

State:

Zip Code: *

Building Type: *

Building Square Footage: * square feet

Retrofit Square Footage: square feet

The square footage of the retrofit - if only part of the building was updated.

Number of Floors: *

Completion Date: *

The date that the building (or retrofit) was completed

Systems For Evaluation:

Lighting

Building Envelope

Heating and Air Conditioning

Whole Building

In other words: Which of the following were areas where high efficiency options were most likely implemented?

Additional Information

Additional Notes:

Building Drawing:

Optional - Upload building drawing such as a dxf or dwf

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