6.1. ERMUSR 01-10-2012 - Laserfiche WebLink

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WATER CONSERVATION REBATE Elk River; Municipal U APPLICATION ff you have questions, please call 763-441-2020, 8:OOAM to 4:30 PM Mon-Fri. (OFFICE USE ONLI~ REBATE VERIFICATION: Inspection Time: Inspector: pts Smart Controller pts Sprinkler Heads pts Landscaping Irrigation System Assessment pts Water Conserving Indoor Equipment pts Participate in ProjeM Conserve TOTAL POINTS Program Requirements: t) Commercial customer using more than to% of the previous yeazs winter average plus 4o units, z) Copy of Invoice or sales receipt for all equipment, 3) Maximum water credit for Smart Controllers is go% of installed cost up to $goo dollars for cus- tomers using greater than z5o units $25o for customers using less than 25o units, 4) Maximum water credit for sprinkler heads or drip sys- tems is So% up to a maximum of $50o per year, 5) All water credit rebates are contingent on ERMU verification and approval, 6) customer must attain ro water conservation points (WCP) to participate in the program. ACCOUNT INFORMATION: NAME ON WATER ACCOUNT: ACCOUNT ACCOUNT HOLDER PHONE #: APPLICANT INFORMATION: Name of person Day Phone: Billing Address: Installation Address: IRRIGATION INFORMATION: Property Type (circle one): Association/Multi-family Irrigation System Installation Year: Installation Person/Company: Smart Controller (5 Water Conservation Points) Smart Controller Installation Smart Controller Brand: (Copy of invoice with application required) Model No. Sprinkler Heads or Drip System (t Water Conservation Point for each head or drip line) Type of Sprinkler Heads (circle one): Pop-Up Impact Rotors Drip line Installation Date: (Copy of invoice with application required) Irrigation System Brand: Model No. Cell City State _ Zip MN Zip Commercial Number of Zones: PHONE