Agency_____________________________  Prepared by:____________________________ 
 
Reported Year: FY 1997  Date Submitted:___________  Phone:___________________ 
 
ESTIMATED GROSS SQUARE FOOTAGE 
Buildings/Facilities                 Excluded Buildings/Industrial 
Gross Square Feet, Thou.______________  Gross Square Feet, Thou._____________ 
 
ENERGY CONSUMPTION AND COST DATA 
(Breakdown of energy types for the current year is optional, but if it's available, 
please provide it.) 
 
Buildings/Facilities           Annual Consumption       Annual Cost (Thou. $) 
Electricity     MWH            __________________      _____________________ 
Fuel Oil        Thou. Gal.     __________________      _____________________ 
Natural Gas     Thou. Cu. Ft.  __________________      _____________________ 
LPG/Propane     Thou. Gal.     __________________      _____________________ 
Coal            S. Ton         __________________      _____________________ 
Purch. Steam    BBtu           __________________      _____________________ 
Other           BBtu           __________________      _____________________ 
                Total Buildings/Facilities Costs       _____________________ 
 
Excluded Buildings/Industrial   Annual Consumption      Annual Cost (Thou. $) 
Electricity     MWH             __________________      _____________________ 
Fuel Oil        Thou. Gal.      __________________      _____________________ 
Natural Gas     Thou. Cu. Ft.   __________________      _____________________ 
LPG/Propane     Thou. Gal.      __________________      _____________________ 
Coal            S. Ton          __________________      _____________________ 
Purch. Steam    BBtu            __________________      _____________________ 
Other           BBtu            __________________      _____________________ 
                Total Excluded Bldgs/Indust Fac. Costs  _____________________ 
 
DIRECT AGENCY EXPENDITURES -- Direct expenditures on facility energy 
efficiency improvements 
FY 1997 Estimated Expenditures (Thou. $)______________________ 
Annual savings anticipated from expenditures_________________ MMBTU 
                                            _________________(Thou. $) 
 
ENERGY SAVINGS PERFORMANCE CONTRACTS 
Number of ESP contracts planned_________________ 
Annual savings anticipated from ESP contracts________________MMBTU 
                                             ________________(Thou. $) 
UTILITY INCENTIVES 
Incentives anticipated____________________(Thou. $) 
Funds planned in order to receive incentives___________________(Thou. $) 
Annual savings anticipated from DSM activities________________MMBTU 
                                              ________________(Thou. $) 
TRAINING 
Planned year expenditures for energy management training_____________(Thou. $) 
Planned number of personnel trained_______________________ 

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