{"id":67946,"date":"2024-03-05T19:23:23","date_gmt":"2024-03-05T18:23:23","guid":{"rendered":"https:\/\/welem.com\/enr\/?page_id=67946"},"modified":"2025-07-28T09:13:36","modified_gmt":"2025-07-28T07:13:36","slug":"demande-devis-installation-poele-ou-cuisiniere-bouilleur","status":"publish","type":"page","link":"https:\/\/welem.com\/enr\/demande-devis-installation-poele-ou-cuisiniere-bouilleur\/","title":{"rendered":"Demande devis pour installation po\u00eale ou cuisini\u00e8re bouilleur"},"content":{"rendered":"<style type=\"text\/css\"> \n#cmsms_row_69df330085dcb .cmsms_row_outer_parent { \n\tpadding-top: 30px; \n} \n\n#cmsms_row_69df330085dcb .cmsms_row_outer_parent { \n\tpadding-bottom: 0px; \n} \n\n \n#cmsms_notice_69df330085e99 { \n\tbackground-color:#4f3d3c; \n\tborder-color:#bfd029; \n\tcolor:#cccccc; \n} \n.cmsms_notice:before {\n\n\tcolor:#bfd029; \n}\n \n#cmsms_notice_69df330085ffd { \n\tbackground-color:#4f3d3c; \n\tborder-color:#fcbd16; \n\tcolor:#fcbd16; \n} \n.cmsms_notice:before {\n\n\tcolor:#fcbd16; \n}\n \n#cmsms_row_69df33008657c .cmsms_row_outer_parent { \n\tpadding-top: 0px; \n} \n\n#cmsms_row_69df33008657c .cmsms_row_outer_parent { \n\tpadding-bottom: 50px; \n} \n\n<\/style><div id=\"cmsms_row_69df330085dcb\" class=\"cmsms_row cmsms_color_scheme_default\">\n<div class=\"cmsms_row_outer_parent\">\n<div class=\"cmsms_row_outer\">\n<div class=\"cmsms_row_inner\">\n<div class=\"cmsms_row_margin\">\n<div class=\"cmsms_column two_third\">\n<div id=\"cmsms_notice_69df330085e99\" class=\"cmsms_notice cmsms_notice_custom\">\n<div class=\"notice_icon\"><\/div>\n<div class=\"notice_content\">\n<p>Pour votre projet po\u00eale bouilleur, aussi appel\u00e9 po\u00eale hydro ou po\u00eale chaudi\u00e8re, il est tr\u00e8s important de faire appel \u00e0 une soci\u00e9t\u00e9 locale comme WELEM qui est exp\u00e9riment\u00e9e et reconnue pour son expertise en cuisini\u00e8re et po\u00eale bouilleur. Comme de nombreux clients qui nous ont fait confiance depuis plus de 18 ans, vous appr\u00e9cierez le conseil, la qualit\u00e9 de pose et le service apr\u00e8s-vente de notre soci\u00e9t\u00e9.<\/p>\n<\/div>\n<\/div>\n<div id=\"cmsms_notice_69df330085ffd\" class=\"cmsms_notice cmsms_notice_custom cmsms-icon-warning-empty\" data-animation=\"rollIn\" data-delay=\"0\">\n<div class=\"notice_icon\"><\/div>\n<div class=\"notice_content\">\n<p>Ne pas d\u00e9passer 4 Mb pour la taille de vos fichiers image<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"cmsms_column one_third\">\n<div class=\"cmsms_img  cmsms_image_n\" data-animation=\"flipInX\" data-delay=\"0\">\n<img decoding=\"async\" src=\"https:\/\/welem.com\/enr\/wp-content\/uploads\/PoeleHydroShtLivoAqua-300x159.jpg\" \/>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"cmsms_row_69df33008657c\" class=\"cmsms_row cmsms_color_scheme_default\">\n<div class=\"cmsms_row_outer_parent\">\n<div class=\"cmsms_row_outer\">\n<div class=\"cmsms_row_inner\">\n<div class=\"cmsms_row_margin\">\n<div class=\"cmsms_column one_first\">\n<div class=\"cmsms_text\">\n<p><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_7' style='display:none'>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>\u00ab\u00a0<span class=\"gfield_required gfield_required_asterisk\">*<\/span>\u00a0\u00bb indique les champs n\u00e9cessaires<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_7'  action='\/enr\/wp-json\/wp\/v2\/pages\/67946' data-formid='7' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_7' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_7_13\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Informations de contact<\/h3><\/div><fieldset id=\"field_7_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Demandeur<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_7_1'>\n                            \n                            <span id='input_7_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_7_1_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                    <input type='text' name='input_1.3' id='input_7_1_3' value=''   aria-required='true'    autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            \n                            <span id='input_7_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_7_1_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                            <input type='text' name='input_1.6' id='input_7_1_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_7_16\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adresse<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address gform-grid-row' id='input_7_16' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_7_16_1_container' >\n                                        <label for='input_7_16_1' id='input_7_16_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse postale<\/label>\n                                        <input type='text' name='input_16.1' id='input_7_16_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_7_16_3_container' >\n                                    <label for='input_7_16_3' id='input_7_16_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                    <input type='text' name='input_16.3' id='input_7_16_3' value=''    aria-required='true'    \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_16.4' id='input_7_16_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_7_16_5_container' >\n                                    <label for='input_7_16_5' id='input_7_16_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                    <input type='text' name='input_16.5' id='input_7_16_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_16.6' id='input_7_16_6' value='France' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><div class='gfield_description' id='gfield_description_7_16'>ATTENTION, nous r\u00e9pondons aux  demandes de devis uniquement pour une installation dans le Finist\u00e8re. <\/div><\/fieldset><div id=\"field_7_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_2'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_7_2' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                        <\/div><\/div><div id=\"field_7_14\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_14'>T\u00e9l\u00e9phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_14' id='input_7_14' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_108\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Localisation chantier<\/h3><\/div><fieldset id=\"field_7_109\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Localisation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_109'>\n\t\t\t<div class='gchoice gchoice_7_109_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_109' type='radio' value='Idem adresse du demandeur' checked='checked' id='choice_7_109_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_109_0' id='label_7_109_0' class='gform-field-label gform-field-label--type-inline'>Idem adresse du demandeur<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_109_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_109' type='radio' value='Adresse diff\u00e9rente'  id='choice_7_109_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_109_1' id='label_7_109_1' class='gform-field-label gform-field-label--type-inline'>Adresse diff\u00e9rente<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_110\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adresse chantier<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address gform-grid-row' id='input_7_110' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_7_110_1_container' >\n                                        <label for='input_7_110_1' id='input_7_110_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse postale<\/label>\n                                        <input type='text' name='input_110.1' id='input_7_110_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_7_110_3_container' >\n                                    <label for='input_7_110_3' id='input_7_110_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                    <input type='text' name='input_110.3' id='input_7_110_3' value=''    aria-required='true'    \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_110.4' id='input_7_110_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_7_110_5_container' >\n                                    <label for='input_7_110_5' id='input_7_110_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                    <input type='text' name='input_110.5' id='input_7_110_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_110.6' id='input_7_110_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_7_23\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Caract\u00e9ristiques du b\u00e2timent<\/h3><\/div><div id=\"field_7_26\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_26'>Longueur<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_26' id='input_7_26' type='text' step='any' min='1' max='50' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_7_26 gfield_description_7_26\" \/><div class='gfield_description instruction ' id='gfield_instruction_7_26'>Veuillez saisir un nombre entre <strong>1<\/strong> et <strong>50<\/strong>.<\/div><\/div><div class='gfield_description' id='gfield_description_7_26'>En m\u00e8tre<\/div><\/div><div id=\"field_7_27\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_27'>Largeur<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_27' id='input_7_27' type='number' step='any'   value='' class='small'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_7_27\" \/><\/div><div class='gfield_description' id='gfield_description_7_27'>En m\u00e8tre<\/div><\/div><div id=\"field_7_31\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_31'>Hauteur<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_31' id='input_7_31' type='number' step='any'   value='' class='small'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_7_31\" \/><\/div><div class='gfield_description' id='gfield_description_7_31'>En m\u00e8tre<\/div><\/div><div id=\"field_7_34\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third body #gform_wrapper_4 .gform_body .gform_fields #field_34.gfield .ginput_container_number {border: 6px solid red} field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_34'>Ann\u00e9e de construction<\/label><div class='ginput_container ginput_container_number'><input name='input_34' id='input_7_34' type='text' step='any' min='1700'  value='' class='small'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_7_34\" \/><div class='gfield_description instruction ' id='gfield_instruction_7_34'>Veuillez saisir un nombre sup\u00e9rieur ou \u00e9gal \u00e0 <strong>1700<\/strong>.<\/div><\/div><\/div><div id=\"field_7_74\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_74'>Surface habitable<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_74' id='input_7_74' type='number' step='any'   value='' class='small'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_7_74\" \/><\/div><div class='gfield_description' id='gfield_description_7_74'>En m2<\/div><\/div><div id=\"field_7_69\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_69'>Nombre d&#039;occupants<\/label><div class='ginput_container ginput_container_number'><input name='input_69' id='input_7_69' type='number' step='any' min='1' max='10' value='' class='small'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_7_69\" \/><div class='gfield_description instruction ' id='gfield_instruction_7_69'>Veuillez saisir un nombre entre <strong>1<\/strong> et <strong>10<\/strong>.<\/div><\/div><\/div><fieldset id=\"field_7_101\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Type de b\u00e2timent<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_101'>\n\t\t\t<div class='gchoice gchoice_7_101_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_101' type='radio' value='Maison d&#039;habitation'  id='choice_7_101_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_101_0' id='label_7_101_0' class='gform-field-label gform-field-label--type-inline'>Maison d'habitation<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_101_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_101' type='radio' value='Appartement'  id='choice_7_101_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_101_1' id='label_7_101_1' class='gform-field-label gform-field-label--type-inline'>Appartement<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_101_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_101' type='radio' value='gf_other_choice'  id='choice_7_101_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_101_2' id='label_7_101_2' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_7_101_other' class='gchoice_other_control' name='input_101_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_38\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_38'>Photo d&#039;ensemble du b\u00e2timent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='4194304' \/><input name='input_38' id='input_7_38' type='file' class='large' aria-describedby=\"gfield_upload_rules_7_38\" onchange='javascript:gformValidateFileSize( this, 4194304 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_7_38'>Types de fichiers accept\u00e9s\u00a0: jpg, gif, png, pdf, Taille max. des fichiers\u00a0: 4 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_7_38'><\/div> <\/div><\/div><div id=\"field_7_75\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Caract\u00e9ristiques thermiques<\/h3><\/div><fieldset id=\"field_7_77\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Isolation murs<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_77'>\n\t\t\t<div class='gchoice gchoice_7_77_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='Aucune'  id='choice_7_77_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_77_0' id='label_7_77_0' class='gform-field-label gform-field-label--type-inline'>Aucune<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_77_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='Avant 1980'  id='choice_7_77_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_77_1' id='label_7_77_1' class='gform-field-label gform-field-label--type-inline'>Avant 1980<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_77_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='1980 \u00e0 2000'  id='choice_7_77_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_77_2' id='label_7_77_2' class='gform-field-label gform-field-label--type-inline'>1980 \u00e0 2000<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_77_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='2000 \u00e0 2012'  id='choice_7_77_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_77_3' id='label_7_77_3' class='gform-field-label gform-field-label--type-inline'>2000 \u00e0 2012<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_77_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='Apr\u00e8s 2012'  id='choice_7_77_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_77_4' id='label_7_77_4' class='gform-field-label gform-field-label--type-inline'>Apr\u00e8s 2012<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_80\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Mat\u00e9riaux isol. murs<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_80'>\n\t\t\t<div class='gchoice gchoice_7_80_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='Vide d&#039;air + brique pl\u00e2tri\u00e8re'  id='choice_7_80_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_80_0' id='label_7_80_0' class='gform-field-label gform-field-label--type-inline'>Vide d'air + brique pl\u00e2tri\u00e8re<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_80_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='Polystyr\u00e8ne + brique pl\u00e2tri\u00e8re'  id='choice_7_80_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_80_1' id='label_7_80_1' class='gform-field-label gform-field-label--type-inline'>Polystyr\u00e8ne + brique pl\u00e2tri\u00e8re<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_80_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='Laine min\u00e9rale + brique pl\u00e2tri\u00e8re'  id='choice_7_80_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_80_2' id='label_7_80_2' class='gform-field-label gform-field-label--type-inline'>Laine min\u00e9rale + brique pl\u00e2tri\u00e8re<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_80_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='Polystyr\u00e8ne + Placo'  id='choice_7_80_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_80_3' id='label_7_80_3' class='gform-field-label gform-field-label--type-inline'>Polystyr\u00e8ne + Placo<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_80_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='Laine min\u00e9rale + Placo'  id='choice_7_80_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_80_4' id='label_7_80_4' class='gform-field-label gform-field-label--type-inline'>Laine min\u00e9rale + Placo<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_80_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='Isolation par l&#039;ext\u00e9rieur'  id='choice_7_80_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_80_5' id='label_7_80_5' class='gform-field-label gform-field-label--type-inline'>Isolation par l'ext\u00e9rieur<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_80_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='gf_other_choice'  id='choice_7_80_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_80_6' id='label_7_80_6' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_7_80_other' class='gchoice_other_control' name='input_80_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_78\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Isolation combles<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_78'>\n\t\t\t<div class='gchoice gchoice_7_78_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='Aucune'  id='choice_7_78_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_78_0' id='label_7_78_0' class='gform-field-label gform-field-label--type-inline'>Aucune<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_78_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='Avant 1980'  id='choice_7_78_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_78_1' id='label_7_78_1' class='gform-field-label gform-field-label--type-inline'>Avant 1980<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_78_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='1980 \u00e0 2000'  id='choice_7_78_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_78_2' id='label_7_78_2' class='gform-field-label gform-field-label--type-inline'>1980 \u00e0 2000<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_78_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='2000 \u00e0 2012'  id='choice_7_78_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_78_3' id='label_7_78_3' class='gform-field-label gform-field-label--type-inline'>2000 \u00e0 2012<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_78_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='Apr\u00e8s 2012'  id='choice_7_78_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_78_4' id='label_7_78_4' class='gform-field-label gform-field-label--type-inline'>Apr\u00e8s 2012<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_81\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Mat\u00e9riaux isol. combles<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_81'>\n\t\t\t<div class='gchoice gchoice_7_81_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='Laine min\u00e9rale'  id='choice_7_81_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_81_0' id='label_7_81_0' class='gform-field-label gform-field-label--type-inline'>Laine min\u00e9rale<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_81_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='Flocons de laine min\u00e9rale'  id='choice_7_81_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_81_1' id='label_7_81_1' class='gform-field-label gform-field-label--type-inline'>Flocons de laine min\u00e9rale<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_81_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='Flocons de ouate'  id='choice_7_81_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_81_2' id='label_7_81_2' class='gform-field-label gform-field-label--type-inline'>Flocons de ouate<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_81_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='Panneaux de polystyr\u00e8ne'  id='choice_7_81_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_81_3' id='label_7_81_3' class='gform-field-label gform-field-label--type-inline'>Panneaux de polystyr\u00e8ne<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_81_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='Panneaux de polyur\u00e9thane'  id='choice_7_81_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_81_4' id='label_7_81_4' class='gform-field-label gform-field-label--type-inline'>Panneaux de polyur\u00e9thane<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_81_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='gf_other_choice'  id='choice_7_81_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_81_5' id='label_7_81_5' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_7_81_other' class='gchoice_other_control' name='input_81_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_79\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Fen\u00eatres<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_79'>\n\t\t\t<div class='gchoice gchoice_7_79_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='Simple vitrage'  id='choice_7_79_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_79_0' id='label_7_79_0' class='gform-field-label gform-field-label--type-inline'>Simple vitrage<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_79_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='Double vitrage'  id='choice_7_79_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_79_1' id='label_7_79_1' class='gform-field-label gform-field-label--type-inline'>Double vitrage<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_79_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='Triple vitrage'  id='choice_7_79_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_79_2' id='label_7_79_2' class='gform-field-label gform-field-label--type-inline'>Triple vitrage<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_82\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Mat\u00e9riaux fen\u00eatres<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_82'>\n\t\t\t<div class='gchoice gchoice_7_82_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_82' type='radio' value='Bois'  id='choice_7_82_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_82_0' id='label_7_82_0' class='gform-field-label gform-field-label--type-inline'>Bois<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_82_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_82' type='radio' value='PVC'  id='choice_7_82_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_82_1' id='label_7_82_1' class='gform-field-label gform-field-label--type-inline'>PVC<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_82_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_82' type='radio' value='Aluminium'  id='choice_7_82_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_82_2' id='label_7_82_2' class='gform-field-label gform-field-label--type-inline'>Aluminium<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_83\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Mode chauffage actuel<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_83'>\n\t\t\t<div class='gchoice gchoice_7_83_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_83' type='radio' value='Aucun'  id='choice_7_83_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_83_0' id='label_7_83_0' class='gform-field-label gform-field-label--type-inline'>Aucun<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_83_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_83' type='radio' value='Chaudi\u00e8re gaz'  id='choice_7_83_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_83_1' id='label_7_83_1' class='gform-field-label gform-field-label--type-inline'>Chaudi\u00e8re gaz<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_83_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_83' type='radio' value='Chaudi\u00e8re fioul'  id='choice_7_83_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_83_2' id='label_7_83_2' class='gform-field-label gform-field-label--type-inline'>Chaudi\u00e8re fioul<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_83_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_83' type='radio' value='Electrique'  id='choice_7_83_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_83_3' id='label_7_83_3' class='gform-field-label gform-field-label--type-inline'>PAC<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_83_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_83' type='radio' value='gf_other_choice'  id='choice_7_83_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_83_4' id='label_7_83_4' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_7_83_other' class='gchoice_other_control' name='input_83_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_87\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_87'>Marque et mod\u00e8le<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_87' id='input_7_87' type='text' value='' class='medium'  aria-describedby=\"gfield_description_7_87\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_7_87'>De l'appareil de chauffage actuel<\/div><\/div><fieldset id=\"field_7_89\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Emetteurs de chaleur<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_89'>\n\t\t\t<div class='gchoice gchoice_7_89_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_89' type='radio' value='Aucun'  id='choice_7_89_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_89_0' id='label_7_89_0' class='gform-field-label gform-field-label--type-inline'>Aucun<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_89_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_89' type='radio' value='Radiateurs \u00e0 eau'  id='choice_7_89_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_89_1' id='label_7_89_1' class='gform-field-label gform-field-label--type-inline'>Radiateurs \u00e0 eau<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_89_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_89' type='radio' value='Plancher chauffant'  id='choice_7_89_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_89_2' id='label_7_89_2' class='gform-field-label gform-field-label--type-inline'>Plancher chauffant<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_89_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_89' type='radio' value='Radiateurs \u00e9lectriques'  id='choice_7_89_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_89_3' id='label_7_89_3' class='gform-field-label gform-field-label--type-inline'>Radiateurs \u00e9lectriques<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_89_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_89' type='radio' value='gf_other_choice'  id='choice_7_89_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_89_4' id='label_7_89_4' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_7_89_other' class='gchoice_other_control' name='input_89_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_64\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Mode de production ECS<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_64'>\n\t\t\t<div class='gchoice gchoice_7_64_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='Aucun'  id='choice_7_64_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_7_64\"   \/>\n\t\t\t\t\t<label for='choice_7_64_0' id='label_7_64_0' class='gform-field-label gform-field-label--type-inline'>Aucun<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_64_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='Chaudi\u00e8re Gaz'  id='choice_7_64_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_64_1' id='label_7_64_1' class='gform-field-label gform-field-label--type-inline'>Chaudi\u00e8re Gaz<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_64_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='Chaudi\u00e8re Fioul'  id='choice_7_64_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_64_2' id='label_7_64_2' class='gform-field-label gform-field-label--type-inline'>Chaudi\u00e8re Fioul<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_64_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='Ballon \u00e9lectrique'  id='choice_7_64_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_64_3' id='label_7_64_3' class='gform-field-label gform-field-label--type-inline'>Ballon \u00e9lectrique<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_64_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='gf_other_choice'  id='choice_7_64_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_64_4' id='label_7_64_4' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_7_64_other' class='gchoice_other_control' name='input_64_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_7_64'>Production Eau Chaude Sanitaire<\/div><\/fieldset><div id=\"field_7_17\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Votre projet<\/h3><\/div><fieldset id=\"field_7_61\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Type d&#039;appareil<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_61'>\n\t\t\t<div class='gchoice gchoice_7_61_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='Hydro po\u00eale b\u00fbches'  id='choice_7_61_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_61_0' id='label_7_61_0' class='gform-field-label gform-field-label--type-inline'>Hydro po\u00eale b\u00fbches<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_61_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='Hydro po\u00eale \u00e0 granul\u00e9s'  id='choice_7_61_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_61_1' id='label_7_61_1' class='gform-field-label gform-field-label--type-inline'>Hydro po\u00eale \u00e0 granul\u00e9s<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_61_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='Hydro cuisini\u00e8re b\u00fbches'  id='choice_7_61_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_61_2' id='label_7_61_2' class='gform-field-label gform-field-label--type-inline'>Hydro cuisini\u00e8re b\u00fbches<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_102\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_102'>Mod\u00e8le<\/label><div class='ginput_container ginput_container_text'><input name='input_102' id='input_7_102' type='text' value='' class='large'  aria-describedby=\"gfield_description_7_102\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_7_102'>Indiquez ici la marque et\/ou le mod\u00e8le d'appareil souhait\u00e9 si vous le connaissez. Attention choisir parmi nos marques: Edilkamin, Thermorossi, De Manincor, SHT.<\/div><\/div><fieldset id=\"field_7_29\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Nature du sol<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_29'>\n\t\t\t<div class='gchoice gchoice_7_29_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Carrelage'  id='choice_7_29_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_7_29\"   \/>\n\t\t\t\t\t<label for='choice_7_29_0' id='label_7_29_0' class='gform-field-label gform-field-label--type-inline'>Carrelage<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_29_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Bois'  id='choice_7_29_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_29_1' id='label_7_29_1' class='gform-field-label gform-field-label--type-inline'>Bois<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_29_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='gf_other_choice'  id='choice_7_29_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_29_2' id='label_7_29_2' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_7_29_other' class='gchoice_other_control' name='input_29_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_7_29'>A l'emplacement du futur appareil hydro<\/div><\/fieldset><div id=\"field_7_99\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_99'>Surface de la pi\u00e8ce<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_99' id='input_7_99' type='text' value='' class='small'  aria-describedby=\"gfield_description_7_99\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_7_99'>En m2 de la pi\u00e8ce du futur appareil<\/div><\/div><div id=\"field_7_95\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_95'>Emplacement souhait\u00e9 de l&#039;appareil hydro<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_95' id='input_7_95' type='text' value='' class='large'  aria-describedby=\"gfield_description_7_95\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_7_95'>Attention, il faut au minimum un volume libre de 1,2m de large x 1,2m de profondeur x 2m de haut.<\/div><\/div><div id=\"field_7_37\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_37'>Photo de l&#039;emplacement appareil hydro<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='4194304' \/><input name='input_37' id='input_7_37' type='file' class='large' aria-describedby=\"gfield_upload_rules_7_37 gfield_description_7_37\" onchange='javascript:gformValidateFileSize( this, 4194304 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_7_37'>Types de fichiers accept\u00e9s\u00a0: jpg, gif, png, pdf, Taille max. des fichiers\u00a0: 4 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_7_37'><\/div> <\/div><div class='gfield_description' id='gfield_description_7_37'>Emplacement souhait\u00e9 de l'appareil hydro<\/div><\/div><fieldset id=\"field_7_106\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Type de prise d&#039;air ext\u00e9rieure<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_106'>\n\t\t\t<div class='gchoice gchoice_7_106_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_106' type='radio' value='Direct dans le mur derri\u00e8re l&#039;appareil'  id='choice_7_106_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_7_106\"   \/>\n\t\t\t\t\t<label for='choice_7_106_0' id='label_7_106_0' class='gform-field-label gform-field-label--type-inline'>Direct dans le mur derri\u00e8re l'appareil<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_106_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_106' type='radio' value='Direct dans le vide sanitaire ou cave sous l&#039;appareil'  id='choice_7_106_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_106_1' id='label_7_106_1' class='gform-field-label gform-field-label--type-inline'>Direct dans le vide sanitaire ou cave sous l'appareil<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_106_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_106' type='radio' value='Indirect dans un mur de la pi\u00e8ce de l&#039;appareil'  id='choice_7_106_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_106_2' id='label_7_106_2' class='gform-field-label gform-field-label--type-inline'>Indirect dans un mur de la pi\u00e8ce de l'appareil<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_106_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_106' type='radio' value='gf_other_choice'  id='choice_7_106_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_106_3' id='label_7_106_3' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_7_106_other' class='gchoice_other_control' name='input_106_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_7_106'>La prise d'air est obligatoire et doit toujours \u00eatre dans un mur ou dalle qui donne sur l'ext\u00e9rieur<\/div><\/fieldset><div id=\"field_7_107\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_107'>Photo de l&#039;emplacement prise d&#039;air ext\u00e9rieur<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='4194304' \/><input name='input_107' id='input_7_107' type='file' class='large' aria-describedby=\"gfield_upload_rules_7_107 gfield_description_7_107\" onchange='javascript:gformValidateFileSize( this, 4194304 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_7_107'>Types de fichiers accept\u00e9s\u00a0: jpg, gif, png, pdf, Taille max. des fichiers\u00a0: 4 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_7_107'><\/div> <\/div><div class='gfield_description' id='gfield_description_7_107'>Emplacement souhait\u00e9 de la prise d'air ext\u00e9rieur<\/div><\/div><fieldset id=\"field_7_35\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Type de conduit de fum\u00e9e<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_35'>\n\t\t\t<div class='gchoice gchoice_7_35_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Aucun, \u00e0 cr\u00e9er'  id='choice_7_35_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_7_35\"   \/>\n\t\t\t\t\t<label for='choice_7_35_0' id='label_7_35_0' class='gform-field-label gform-field-label--type-inline'>Aucun, \u00e0 cr\u00e9er<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_35_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Boisseau ma\u00e7onn\u00e9'  id='choice_7_35_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_35_1' id='label_7_35_1' class='gform-field-label gform-field-label--type-inline'>Boisseau ma\u00e7onn\u00e9<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_35_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Conduit m\u00e9tallique'  id='choice_7_35_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_35_2' id='label_7_35_2' class='gform-field-label gform-field-label--type-inline'>Conduit m\u00e9tallique<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_35_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='gf_other_choice'  id='choice_7_35_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_35_3' id='label_7_35_3' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_7_35_other' class='gchoice_other_control' name='input_35_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_7_35'>Si conduit existant, doit \u00eatre \u00e0 moins de 50cm de l'emplacement du po\u00eale<\/div><\/fieldset><div id=\"field_7_96\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_96'>Photo sortie conduit de fum\u00e9e<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='4194304' \/><input name='input_96' id='input_7_96' type='file' class='large' aria-describedby=\"gfield_upload_rules_7_96 gfield_description_7_96\" onchange='javascript:gformValidateFileSize( this, 4194304 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_7_96'>Types de fichiers accept\u00e9s\u00a0: jpg, gif, png, pdf, Taille max. des fichiers\u00a0: 4 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_7_96'><\/div> <\/div><div class='gfield_description' id='gfield_description_7_96'>A d\u00e9faut, photo emplacement souhait\u00e9 du conduit fum\u00e9e.<\/div><\/div><fieldset id=\"field_7_49\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-third gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Type de ballon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_49'>\n\t\t\t<div class='gchoice gchoice_7_49_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Avec ECS'  id='choice_7_49_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_7_49\"   \/>\n\t\t\t\t\t<label for='choice_7_49_0' id='label_7_49_0' class='gform-field-label gform-field-label--type-inline'>Avec Eau Chaude Sanitaire<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_49_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Sans ECS'  id='choice_7_49_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_49_1' id='label_7_49_1' class='gform-field-label gform-field-label--type-inline'>Sans Eau Chaude Sanitaire<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_7_49'>Choix d'un type de ballon obligatoire<\/div><\/fieldset><fieldset id=\"field_7_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-third gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Nature du sol<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_25'>\n\t\t\t<div class='gchoice gchoice_7_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Carrelage'  id='choice_7_25_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_7_25\"   \/>\n\t\t\t\t\t<label for='choice_7_25_0' id='label_7_25_0' class='gform-field-label gform-field-label--type-inline'>Carrelage<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='B\u00e9ton'  id='choice_7_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_25_1' id='label_7_25_1' class='gform-field-label gform-field-label--type-inline'>B\u00e9ton<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_25_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='gf_other_choice'  id='choice_7_25_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_25_2' id='label_7_25_2' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_7_25_other' class='gchoice_other_control' name='input_25_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_7_25'>A l'emplacement du ballon<\/div><\/fieldset><div id=\"field_7_100\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_100'>Surface du local<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_100' id='input_7_100' type='number' step='any'   value='' class='small'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_7_100\" \/><\/div><div class='gfield_description' id='gfield_description_7_100'>En m2 du local o\u00f9 sera install\u00e9 le ballon<\/div><\/div><div id=\"field_7_67\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_67'>Emplacement souhait\u00e9 du ballon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_67' id='input_7_67' type='text' value='' class='large'  aria-describedby=\"gfield_description_7_67\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_7_67'>Attention, il faut au minimum un volume libre de 1,2m de large x 0,8m de profondeur x 2m de haut. La ballon \nse pose obligatoirement au sol.<\/div><\/div><div id=\"field_7_44\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_44'>Photo de l&#039;emplacement ballon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='4194304' \/><input name='input_44' id='input_7_44' type='file' class='large' aria-describedby=\"gfield_upload_rules_7_44\" onchange='javascript:gformValidateFileSize( this, 4194304 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_7_44'>Types de fichiers accept\u00e9s\u00a0: jpg, gif, png, pdf, Taille max. des fichiers\u00a0: 4 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_7_44'><\/div> <\/div><\/div><div id=\"field_7_39\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_39'>Distance de raccordement entre po\u00eale et ballon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_39' id='input_7_39' type='number' step='any'   value='' class='small'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_7_39\" \/><\/div><div class='gfield_description' id='gfield_description_7_39'>Longueur (m) estim\u00e9e des tuyaux pour raccorder le po\u00eale bouilleur au ballon<\/div><\/div><fieldset id=\"field_7_40\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Difficult\u00e9 de passage des tuyaux de raccordement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_40'>\n\t\t\t<div class='gchoice gchoice_7_40_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Facile (passage facile, totalement accessible, pas de percement \u00e0 pr\u00e9voir)'  id='choice_7_40_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_40_0' id='label_7_40_0' class='gform-field-label gform-field-label--type-inline'>Facile (passage facile, totalement accessible, pas de percement \u00e0 pr\u00e9voir)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_40_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Normale (passage facile, majoritairement accessible, 1 ou 2 percements)'  id='choice_7_40_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_40_1' id='label_7_40_1' class='gform-field-label gform-field-label--type-inline'>Normale (passage facile, majoritairement accessible, 1 ou 2 percements)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_40_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Difficile (Passage difficile, faiblement accessible)'  id='choice_7_40_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_40_2' id='label_7_40_2' class='gform-field-label gform-field-label--type-inline'>Difficile (Passage difficile, faiblement accessible)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_59\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_7_59'>Photos du parcours possible par l&#039;int\u00e9rieur des tuyaux de raccordement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_7_59' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_7_59&quot;,&quot;container&quot;:&quot;gform_multifile_upload_7_59&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_7_59&quot;,&quot;filelist&quot;:&quot;gform_preview_7_59&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/welem.com\\\/enr\\\/?gf_page=ea81dec5b0241ae&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/welem.com\\\/enr\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/welem.com\\\/enr\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;4194304b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:7,&quot;field_id&quot;:59,&quot;_gform_file_upload_nonce_7_59&quot;:&quot;17925ab0e5&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;3&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_7_59&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_7_59' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_7_59' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_7_59\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_7_59'>Types de fichiers accept\u00e9s\u00a0: jpg, gif, png, pdf, Taille max. des fichiers\u00a0: 4 MB, Max. des fichiers\u00a0: 3.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_7_59'><\/ul> <div id='gform_preview_7_59' class='ginput_preview_list'><\/div><\/div><\/div><div id=\"field_7_71\" class=\"gfield gfield--type-survey gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_71'>Information compl\u00e9mentaire que vous jugez utile<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_71' id='input_7_71' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_7_103\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Comment nous avez-vous connu ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_103'>\n\t\t\t<div class='gchoice gchoice_7_103_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_103' type='radio' value='Recherche sur internet'  id='choice_7_103_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_103_0' id='label_7_103_0' class='gform-field-label gform-field-label--type-inline'>Recherche sur internet<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_103_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_103' type='radio' value='Bouche \u00e0 oreille'  id='choice_7_103_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_103_1' id='label_7_103_1' class='gform-field-label gform-field-label--type-inline'>Bouche \u00e0 oreille<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_103_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_103' type='radio' value='Foire, salon'  id='choice_7_103_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_103_2' id='label_7_103_2' class='gform-field-label gform-field-label--type-inline'>Foire, salon<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_103_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_103' type='radio' value='Publicit\u00e9'  id='choice_7_103_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_103_3' id='label_7_103_3' class='gform-field-label gform-field-label--type-inline'>Publicit\u00e9<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_103_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_103' type='radio' value='gf_other_choice'  id='choice_7_103_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_103_4' id='label_7_103_4' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_7_103_other' class='gchoice_other_control' name='input_103_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_72\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_72'>CAPTCHA<\/label><div id='input_7_72' class='ginput_container ginput_recaptcha' data-sitekey='6LfT5IEUAAAAAH6Fy8zzyPpGFEN3r9rWAi89E-xi'  data-theme='light' data-tabindex='-1' data-size='invisible' data-badge='bottomright'><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_7' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Envoyer'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_7' 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