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SCHEDULE 3-DISTRIBUTED ENERGY RESOURCES INTERCONNECTION PROCESS <br /> Simplified Interconnection Application <br /> Interconnection Customer <br /> Full Name (must match the name of the existing service account): <br /> Account Number: Meter Number: <br /> Mailing Address: <br /> City: State: Zip Code: <br /> Email: Phone: <br /> Application Agent <br /> Is the Customer using an Application Agent for this application? ❑ Yes ❑ No <br /> If Interconnection Customer is not using an Application Agent, please skip to the next section. <br /> Application Agent: <br /> Company Name: <br /> Email: Phone: <br /> For Office Use Only <br /> Application ID: Queue Number: <br /> Date Received: Application Fee Received: ❑ Yes ❑ No <br /> Date Preliminary Approval Provided to Applicant: <br /> ELK RIVER MUNICIPAL UTILITIES <br /> 225 <br />