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Installation Request Form
* Please complete all the fields and submit and you will be contacted by our staff.


Applicant Form
First Name
Last Name
Title
Mailing Address: City:
State:
Zip Code:
Phone:
Fax:
Email:
How did you hear about the program?
Building Information
Name of Facility:
# of Living Units:
# Residents:
Facility Address
City
State
Zip Code
Property Owner:
Apartment Condominium
Is water in this building heated by
Gas Electric



 By checking here, I agree that the requested products will be installed in the building address listed above and that the installation is subject to inspection.

 

For more information on this program please send your questions to: SCL_install@seattle.gov.

To learn more about other ways to conserve energy and save money in your building, please contact a Seattle City Light Energy Advisor at (206) 684-3800.