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Customer Information

Customer Name:

Street Address:

Address Continued:

City:

State:

Zip:

Website:

Phone:

Fax:

Mobile:

Email:

Main Contact

Name:

Title:

Phone:

Mobile:

Email:

Application:

Site Address

City:

State:

Zip:

Longitude/Latitude:

Size of Installation

Total Watt Power:

Number of Modules:

Physical Area:

Module Orientation:

Tilt Angle:

Module Type

Module Type:

Manufacturer:

Part Number:

Dimensions:

Weight:

Power Output:

Ground Mount

For Ground Mount:

Footing Type:

If other, please specify:

Lot Type:

If other, please specify:

Terrain Type:

If other, please specify:

Clear distance from top of ground to bottom of module:

For Roof Mount:

Roof Pitch: Angle of roof to the level plane in degrees:

What is the building height for roof mount:

What is the roofing system:

Wind load

Wind Load

mph:

Snow load

Snow Load

psf:

Special Considerations

Special considerations

Municipal:

Environmental:

Additional Information

Is soil report available:

Photos of site:

Photo 1:

Photo 2:

General Notes: