American Water Heater UP300 Specifications download pdf (Page 5)

Required Attachments Required Attachments

Incentives Worksheets

Application Date:

Is this a revised application?

Project # (if revised): Application Date:

Program Contact:

Expected Completion Date: Project #*:

Project funds will only be reserved for 90 days from date of Pre-notification

*Required for Final Applications that have been reserved

** Not required with Final Application if submitted with Pre-Application

2011 INCENTIVE APPLICATION SUMMARY

PRE-NOTIFICATION APPLICATION FINAL APPLICATION

Customer/Contractor Information Sheet

Original Equipment Manufacturers Specifications Signed Final Application Agreement

Custom Savings Calculations

Itemized Invoices with Equipment Model Numbers

Custom

Boiler & Furnace Tune-Up

Customer/Contractor Information Sheet

Original Equipment Manufacturers Specifications**

Lighting

Electric

Custom

Boiler & Furnace Tune-Up

Natural Gas

Yes No

Natural Gas

Electric

Lighting

MEASURE CATEGORY

LIGHTING

ELECTRIC

NATURAL GAS

BOILER/FURNACE TUNE-UP

CUSTOM

TOTAL INCENTIVES

Page 5 Rev. Mar 30, 2011

FOR FINAL APPLICATION ONLY

(If using the Excel version of application, this section is automatically entered from the incentive worksheets)

INCENTIVE AMOUNT

Total prescriptive incentives cannot exceed the project cost. Custom incentives cannot exceed 50 percent of the total project cost.

How did you hear about the program?

Customer/Contractor Information Sheet

Original Equipment Manufacturers Specifications Signed Final Application Agreement

Custom Savings Calculations

Itemized Invoices with Equipment Model Numbers

Custom

Boiler & Furnace Tune-Up

Customer/Contractor Information Sheet

Original Equipment Manufacturers Specifications**

Lighting

Electric

Custom

Boiler & Furnace Tune-Up

Natural Gas

Yes No

Other (please list)

Event/Seminar

Advertising

Internet Ad

e-Newsletter

Contractor

Consumers Energy Account Manager

Natural Gas

Electric

Lighting

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American Water Heater UP300 Specifications Page 5

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