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<br />FROM hZYW <br /> <br />.... <br /> <br />PHONE NO. 9631545 <br /> <br />. <br /> <br />J~l. 20 1993 11:25PM P10 <br /> <br />, . <br /> <br />PITKIN COUNTY WATER CONSERVATION PROJECT <br />RELEASE FORM <br />PERMISSION TO ENTER RESIDENCE <br /> <br />I give my permission for the staff of the Pitkin County Water <br />Conservation Project and the Roaring Fork Energy Center to <br />perform the necessary duties involved with installation or <br />supervision of installation of the retrofit kits. I will <br />not hold these staff members or Pitkin County liable for <br />any possible damage incurred in connection with installation or <br />supervision of installation of the retrofit kits. It should <br />be noted that there is limited liability associated with <br />these retrofits. Further, we have insurance to pay for any <br />justifiable claims for damages. <br /> <br />Upon completion of installation, I give permission for water <br />. conservation project staff to inspect said work. <br /> <br />In addition. I authorize water conservation staff the release <br />of energy information from utility companies for a 24-month <br />period of time. <br /> <br />Also, I agree to leave operative retrofit kits, installed and <br />inspected by water conservation staff, intact for the duration <br />of the pilot program study period which is one year from the <br />date of installation, The' actual life is far longer for <br />these plumbing devices, especially the toilets. <br /> <br />x <br /> <br />CLIENT SIGNATURE <br /> <br />DATE <br /> <br />NAME (PLEASE PRINT) <br /> <br />ADDRESS <br /> <br />PHONE NUMBER <br />