Name Title Company Phone Email Zip Code of Building Office BuildingHouse of WorshipK-12 SchoolWarehouse / Distribution CenterHotelOther (Including: Manufacturing, Industrial, Hospitals, Medical Office Buildings, Data Centers, etc) Date of Building Construction: Gross (Not Rentable) Floor Area: Gross (Not Rentable) Floor Area: “It is assumed that all of the floor area is conditioned, if any area of the floor area is not please describe in the notes” Weekly Operating Hours: # of Workers During Regular Operating Hours: Notes: Date of Building Construction: Gross (Not Rentable) Floor Area: “It is assumed that all of the floor area is conditioned, if any area of the floor area is not please describe in the notes” Weekly Operating Hours: Dining/Cooking Facilities (Y/N): # of Commercial Fridge/Freezers: Seating Capacity during Main Service (including overflow): # of days of the week the building is operating: Day care or school within facility? (Y/N) Square footage of daycare or school: Date of Building Construction: Gross (Not Rentable) Floor Area: Gross Floor Area: “It is assumed that all of the floor area is conditioned, if any area of the floor area is not please describe in the notes” Weekly Operating Hours: Dining/Cooking Facilities (Y/N): # of Walk In Fridge/Freezers: Notes: Date of Building Construction: Gross (Not Rentable) Floor Area: Gross Floor Area: “It is assumed that all of the floor area is conditioned, if any area of the floor area is not please describe in the notes” Weekly Operating Hours: # of Workers on Main Shift: # of Walk In Fridge/Freezers: Notes: Date of Building Construction: Gross (Not Rentable) Floor Area: Gross Floor Area: “It is assumed that all of the floor area is conditioned, if any area of the floor area is not please describe in the notes” # Rooms # of Workers on Main Shift: Dining/Cooking Facilities (Y/N): # of Commercial Fridge/Freezers: Notes: Date of Building Construction: Gross (Not Rentable) Floor Area: “It is assumed that all of the floor area is conditioned, if any area of the floor area is not please describe in the notes” Weekly Operating Hours: # of Workers During Regular Operating Hours: Notes: