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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 /> <br />ELK RIVER MUNICIPAL UTILITIES <br />234 <br />