| |  |  |  Energy Efficient Multi-Family (GAS & ELECTRIC)
| Allowances for Tenant Furnished Utilities and other Services |
U.S. Department of Housing and Urban Development Office of Public and Indian Housing |
OMB Approval No. 2577-0169 Note: Units Must meet EPA or DOE Energy Efficiency Home Rating Score of 100 or lower |
| Locality: Housing Authority of the City of Long Beach, CA |
Unit Type: Energy Efficient Multi-Family (Gas & Electric) IECC Code Compliant |
Effective: April 1, 2013 |
| Utility or Service Mixed Fuel Units |
Monthly Dollar Allowances |
| 0 BR |
1 BR |
2 BR |
3 BR |
4 BR |
5 BR |
| Heating |
a. |
Natural Gas |
$1.00 |
$1.00 |
$1.00 |
$2.00 |
$2.00 |
$4.00 |
|
b. |
Bottle Gas/Propane |
|
|
|
|
|
|
|
c. |
Electric |
|
|
|
|
|
|
|
d. |
Oil / Other |
|
|
|
|
|
|
| Cooking |
a. |
Natural Gas |
$3.00 |
$3.00 |
$4.00 |
$5.00 |
$6.00 |
$7.00 |
|
b. |
Bottle Gas/Propane |
|
|
|
|
|
|
|
c. |
Electric |
|
|
|
|
|
|
|
d. |
Coal / Other |
|
|
|
|
|
|
| Other Electric (Lights & Appliances) |
$16.00 |
$21.00 |
$28.00 |
$29.00 |
$38.00 |
$41.00 |
| Air Conditioning |
$3.00 |
$4.00 |
$5.00 |
$7.00 |
$7.00 |
$8.00 |
| Water Heating |
a. |
Natural Gas |
$4.00 |
$7.00 |
$9.00 |
$10.00 |
$11.00 |
$12.00 |
|
b. |
Bottle Gas/Propane |
|
|
|
|
|
|
|
c. |
Electric |
|
|
|
|
|
|
|
d. |
Oil / Other |
|
|
|
|
|
|
| Water |
$20.00 |
$20.00 |
$24.00 |
$32.00 |
$37.00 |
$45.00 |
| Sewer |
$9.00 |
$9.00 |
$10.00 |
$11.00 |
$11.00 |
$12.00 |
| Trash Collection |
$23.00 |
$23.00 |
$23.00 |
$23.00 |
$23.00 |
$23.00 |
| Range / Microwave Tenant-purchased |
$12.00 |
$12.00 |
$12.00 |
$12.00 |
$12.00 |
$12.00 |
| Refrigerator Tenant-purchased |
$13.00 |
$13.00 |
$13.00 |
$13.00 |
$13.00 |
$13.00 |
| Other--specify: Monthly Electric Fee $0.71 Monthly Gas Fee $5.10 |
$1.00 |
$1.00 |
$1.00 |
$1.00 |
$1.00 |
$1.00 |
| $5.00 |
$5.00 |
$5.00 |
$5.00 |
$5.00 |
$5.00 |
| Actual Family Allowances |
Utility or Service |
per month cost |
| To be used by the family to compute allowance. Complete below for the actual unit rented. |
Heating |
$ |
| Cooking |
$ |
| Name of Family |
Other Electric |
$ |
|
Air Conditioning |
$ |
| Water Heating |
$ |
| Address of Unit |
Water |
$ |
|
Sewer |
$ |
|
Trash Collection |
$ |
|
Range / Microwave |
$ |
| Refrigerator |
$ |
| Other |
$ |
| Number of Bedrooms |
Other |
$ |
| Total |
$ |
|
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