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Full Name Contact number Email address Property Address Exposed Elements Construction (Please give details, including the U-Value if known.) Primary Wall Secondary Wall Roof Ground Floor Glazing (Please select appropriate value.) Air Gap 6mm 12mm 16mm Other Type Argon filled K Glass Triple Other Frame Wood Plastic Metal Other Main Heating System Type Manufacturer Model Programmer Room Stat TRVs Bypass Flow Switch Zone Control Other Secondary Heating Type Hot Water Primary source (Central Heating) Single Immersion Double Immersion Other Cylinder Details Insulation: Foam Jacket Thickness Cylinder size Energy Efficient Lighting Total light fittings Low energy light fittings Air pressure testing Expected or acheived air pressure (nominally 10.) Ventilation (Please provide info) No. of extract fans Whole house mechanical ventilation system Heat recovery or Go Back
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