Laserfiche WebLink
Elk River 0 <br />�_ <br />Municipal Utilities <br />ENERGY -EFFICIENT LIGHTING <br />RESIDENTIAL REBATE APPLICATION <br />LED LIGHTING (Screw -in bulbs only) REBATE: $2 / BULB <br />(Must be ENERGY STAR®certified, LED lights. For other types of lights, (Not to exceed 50% of cost) <br />fill out Outdoor Fixtures, Holiday Lighting, or Customer Lighting below as applicable) <br />Quantity Lumens New Lighting Watts <br />Space Type (select one) ❑ Interior Living Quarters ❑ Multi Family Common Area ❑ Exterior/Unconditioned Space <br />HVAC (select one) ❑ Heating Only ❑ Heating and Cooling ❑ Exterior/Unconditioned <br />Date of Installation <br />OUTDOOR LED FIXTURES <br />(Must be ENERGY STAR®certified, LED lights) <br />Quantity <br />LED HOLIDAY LIGHTING <br />(Must be ENERGY STAR®certified, LED lights) <br />Quantity of String Lights <br />LED Lighting Type (select one) ❑ LED Mini Holiday Lights <br />Date of Installation <br />Date of Install <br />REBATE: Up to $15 / FIXTURE <br />(Not to exceed 50% of fixture cost) <br />REBATE: $10 / STRING <br />(Not to exceed 50% of cost of string) <br />_ Quantity of Lights per String <br />❑ LED C7 Holiday Lights ❑ LED C9 Holiday Lights <br />CUSTOM LIGHTING REBATE: $0.20/ WATT REDUCED <br />(Must be ENERGY STAR®certified, LED lights) (Not to exceed 50% of lamp/fixture cost) <br />Quantity Previous Lighting Watts New Lighting Watts <br />Space Type (select one) ❑ Interior Living Quarters ❑ Multi Family Common Area ❑ Exterior/Unconditioned Space <br />HVAC (select one) ❑ Heating Only ❑ Heating and Cooling ❑ Exterior/Unconditioned <br />Date of Installation <br />LIGHTING CONTROLS <br />(Must be ENERGY STAR" certified, LED lights) <br />REBATE: $15 / CONTROL <br />(Not to exceed 50% of cost of control) <br />Total Connect Lighting Load (kW. If in watts, divide watts by 1,000 to get kW) <br />Space Type (select one) ❑ Interior Living Quarters ❑ Multi Family Common Area ❑ Exterior/Unconditioned Space <br />HVAC (select one) ❑ Heating Only ❑ Heating and Cooling ❑ Exterior/Unconditioned <br />Date of Installation <br />158 <br />