Title Page
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name of customer:
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Customer address:
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location:
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prepared on:
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prepared by:
Untitled Page
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Is the property listed or in a conservation area?
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proposed heat pump type/brand?
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proposed emitter?
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Is the property a new build or self build?
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If no, When was it built?
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Is a valid EPC available?
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Main wall type?
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Are the walls insulated?
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How are the walls insulated?
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Is customer having future insulation measures with the grant? if so please list.
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Is there any other renewable in place?
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Current fuel type?
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Current emitter type?
loft
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Is the loft insulated to sufficient depth? in cm
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loft height?
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Loft width?
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Is there a loft light?
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Is the loft boarded?
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Is there loft ladders?
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What are loft hatch dimensions?
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Will proposed cylinder fit loft hatch with no obstructions?
materials
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Materials of internal walls/ insulated/
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Materials of internal walls?
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Are the walls insulated? If so what with?
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Are there fireplaces in the property? Which rooms?
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Front door type - wood/pvc?
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back door type - wood/ pvc?
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HW cylinder needed? where to be installed/ will it fit?
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Is a buffer tank ( volumiser ) needed? Where to be installed?
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What are the clearances around the heat pump/ heat pump distance around position?
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Cold mains water pressure - flow rate of cold mains water from downstairs sink.
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How many people are in the property?
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Type of house ie semi/terrace etc
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Floor type downstairs? Insulated?
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Is there parking available at the property?
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Is a delivery van able to drive to door of property to drop off materials?
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Does the pipework go into concrete floor?
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What are the pipe work diameters from the radiators?
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is there any microball pipework on system?
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is the central heating system pressurised?
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What rooms are the party walls adjoined to?
Ground Floor
ROOM 1
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Name of room
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measurement of front external door
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measurement of back door
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measurements of any other exterior door
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window measurements
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current rad size
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does current rad have trv
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measurement of room L x W in meters
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height of room
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What is largest rad size possible ( Have you discussed this with customer)
ROOM 2
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Name of room
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Measurement of front external door
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measurement of back door
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measurement of any other exterior door
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window measurements
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current rad size
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does current rad have TRV
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Measurement of room L X W meters
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Height of room
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Measurements of room L X W in meters?
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What is largest rad size possible?
Room 3
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Name of room?
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measurement of front external door
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measurement of back door
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measurement of any other exterior door
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window measurement
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current rad size
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does current rad have trv?
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measurement of room l x w in meters
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height of room
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what is largest rad size possible?
room 4
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Name of room
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measurement of front external door
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measurement of back door
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measurement of any other exterior door
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window measurement
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current rad size
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does current rad have trv
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measurement of room l x w meters
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height of room
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what is largest rad size possible?
room 5
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Name of room
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measurement of front external door
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Measurement of back door
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measurement of any other exterior door
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window measurement
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current rad size
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does current rad have TRV
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Measurement of room L X W meters
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height of room
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what is largest rad size possible?
room 6
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name of room
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measurement of front external door
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measurement of back door
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measurement of any other external door
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window measurement
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current rad size
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does current rad have trv?
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measurement of room L X W meters
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Height of room?
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What is largest rad size possible?
Room 7
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name of room
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measurement of front external door
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measurement of back door
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measurement of any other exterior door
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window measurement
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current rad size
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does current rad have TRV
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measurement of room LXW meters
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height of room
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what is largest rad size possible
room 8
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name of room
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measurement of front external door
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measurement of back door
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measurement of any other exterior door
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window measurement
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current rad size
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does current rad have trv
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measurement of room L Xw METERS
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Height of room
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what is larges rad size possible?
room 9
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name of room
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measurement of back door
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measurement of any other external door
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window measurement
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current rad size
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does current rad size have TRV?
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measurement of room in L X W METERS
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Height of room
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what is largest rad size possible?
Room 10
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name of room
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measurement of front external door
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measurement of back door
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measurement of any other exterior door
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window measurement
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current rad size
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does current rad have TRV
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Measurement of room LXW meters
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height of room
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what is largest rad size possible?
UPSTAIRS
ROOM 1
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Name of room
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measurement of front external door
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measurement of back door
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measurement of any other exterior door
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window measurement
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current rad size
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does current rad have TRV?
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Measurement of room L XW meters
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height of room
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what is largest rad size possible
room 2
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name of room
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measurement of front external door
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measurement of back door
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measurements of any other exterior door
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window measurement
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current rad size
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does current rad have trv?
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measurement of room L X W meters?
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Height of room?
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What is largest rad size possible?
room 3
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name of room
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measurement of front external door
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measurement of back door
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measurement of any other exterior door
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window measurement
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current rad size
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does current rad have TRV
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Measurement of room L X W meters
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height of room?
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what is largest rad size possible?
room 4
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name of room
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measurement of front external door
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measurement of back door
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measurement of any other exterior door
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window measurement
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current rad size
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does current rad have TRV
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Measurement of room L X W meters
-
height of room
-
what is largest rad size possible
room 5
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name of room
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measurement of front external door
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measurement of back door
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measurement of any other exterior door
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window measurement
-
current rad size
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does current rad have trv
-
measurement of room L X W
-
height of room
-
what is largest rad size possible
room 6
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Name of room
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measurement of front external door
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measurement of back door
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measurement of any exterior door
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window measurement
-
current rad size
-
does current rad have TRV
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Measurement of room L X W METERS
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Height of room
-
What is largest rad size possible?
room 7
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Name of room
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measurement of any external door
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window measurement
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current rad size
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does current rad have TRV
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Measurement of room L xW in meters
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Height of room
-
what is largest rad size possible
room 8
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name of room
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measurement of any external door
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window measurement
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current rad size
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does current rad have TRV
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Measurement of room L X W meters
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Height of room
-
what is largest rad size possible
room 9
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name of room
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measurement of any external doors
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window measurement
-
current rad size
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does current rad have TRV
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Measurement of room L X W meters
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Height of room
-
what is largest rad size possible?
room 10
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Name of room
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measurement of any external door
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window measurements
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current rad size
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does current rad have TRV
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Measurement of room L X W meters
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Height of room
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What is largest rad size possible
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undefined
heat pump
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proposed heat pump location?
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Condensate termination point?
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Is a soak a way needed?
CYLINDER
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is a horizontal or vertical cylinder needed
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Agreed cylinder postion?
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Which size cylinder would be required?
- vertical - 170l h 1270 x w 558
- vertical 200l h 1450 x w 1770
- vertical - 250l h 1770 x w 1770
- horizontal
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Does cylinder fit in desired location?
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prv explained to customer
Needed
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exterior trunking needed? how many lengths of 2m trunking needed?
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number of corners needed?
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Number of end caps needed?
Electrical Part
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Electric meter photo
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Photo of fuse board close up with flap down?
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Photo of fuse board stood back?
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Photo of electric board is done?
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Have you marked on the floor plan where the fuse board is located?
Survey Checks
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Has the video been done for rads and pipe runs?
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Has the floor plan been done? Please mark side of party walls?
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Has the proposed ASHP position been marked?
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Has the elec board been marked?
Photos
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Pic of proposed heat pump location
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Pic of proposed cylinder location
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pic of All of exterior faces of house
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Every radiator in the house - took from two different angles with TRVS showing.
Customer Agreement
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Has the customer walked around with the surveyer and agreed the following:
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The heat pump location?
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Cylinder location?
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Possible rad sizes and positioning?
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Possible pipe runs and cable runs?
Please note that the installer will walk around the job prior to install to go around this again and I am happy to proceed with the instillation by Taggas ltd.
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SIGNITURE OF CUSTOMER:
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print name
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DATE:
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SIGNITURE OF SURVEYOR:
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print name
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DATE: