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Lding (years) Date of Last Major Renovation Purpose of Building Number of Floors Daily Operational Hours (e.g., MF 8-6, Sa 10-4) Organizational Information Name of Organization Name of Contact Position Contact E-mail Phone Number Please check all that apply: This building is leased. This building is owned. The organization receives monthly bills based on accurate meter readings. Meters are read regularly by on-site staff. Bills are compared to monthly meter readings on a regular basis.

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