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2006 Commercial 8 Industrial <br />New Construction Lighting Rebate Application <br />Elk River Municipal Utilities <br />ElkRiver 13069 Orono Parkway <br />MtuucipalUtilities Elk River, MN 55330 <br />763/441-2020 <br />Business Name: 0 <br />Fixture Without Auto Controls With Auto Controls <br />Fluorescent Lamps with T5 Electronic Enter Estimated Annual O ratio Hours: <br />Ballasts Including HO $/Unit Quantity Incentive SlUnif Quantity Incentive <br /> <br />4 foot or less 3 and 4 lamp $ 3.25 $ - $ 4.25 <br />- <br />$ <br /> 1 and 2 lamp $ 2.60 $ - $ 3.25 $ - <br />High Bay Fluorescent Lamps - T8/T5 Enter Estimated Annual Operating Hours: <br />Electronic Ba1lasYs vs. HID $/Unit Quantity Incentive $Nnit Quantity Incentive <br />4 foot or less 6 and 8 lamp $ 25.00 $ - $ 30.00 $ - <br /> <br />Com <br />act Fluorescent Lam <br />/Fixt <br />re Enter Estimated Annual Operating Hours: <br />p <br />ps <br />u <br />s <br />;/Unit <br />Quantity <br />Incentive <br />$/Unit <br />.Quantity <br />Incentive <br />32 W or less $ 1.30 $ - $ 1.65 $ - <br />33 W to 156 W $ 2.30 $ - $ 2.90 $ - <br /> <br />Industri <br />l Multi <br />CFL Enter Estimated Annual Operating Hours: <br />- <br />a $/Unit Quantity Incentive $/Unit Quantity Incentive <br /> $ 10.40 $ - $ 12.70 $ - <br /> <br />Hi <br />h Pressure Sodium Enter Estimated Annual Operating Hours: <br />g $/Unit Quantity Incentive $lUnit Quantity Incentive <br />250 W or less $ 7.80 $ $ 10.00 $ - <br />251 W to 1000 W $ 13.00 $ - $ 16.90 $ - <br /> <br />l <br />P <br />St <br />tal H <br />lid <br />rt M Enter Estimated Annual Operating Hours: <br />u <br />se <br />a <br />e <br />a <br />e <br />$/Unit <br />Quantity <br />Incentive <br />$IUnit <br />Quantity <br />Incentive <br />250 W or less $ 10.40 E - $ 12.70 $ - <br />251 W or greater $ 15.60 $ - $ 19.50 $ - <br />it Si <br />LED E <br />n Enter Estimated Annual Operating Hours: <br />g <br />x <br />s $/Unit Quantity Incentive $/Unit Quantity Incentive <br /> $ 4.00 $ $ 4.00 $ - <br />Rebate Amount Without auto controls #REF! With auto controls #REFI <br />"Required Information. Enter total project to determine rebate. Project Cost <br />Limited to 50% of the proiect cost up to $10,000 Total Rebate <br />Estimated Demand (kW) Savings: <br />Estimated Energy (kWh) Savings: <br />Elk River Municipal Utilities retains the right to make adjustments to correct incentive calculations if necessary. Energy savings calculations <br />are estimates and may vary from actual results. Also see page 1, 'New Construction Lighting Rebate Rules and Guidelines'. <br />Important: A copy of this completed application form and an invoice(s) is required before Elk River Municipal Utilities will issue any <br />incentive payments. <br />UTILITY Representative: Date: <br />This space for Great River Energy Use Only <br />Great River Energy Representative: Date: <br />GRE Account Code:10550-912180-0000 <br />2 of 2 2005 New Constnidion L' hti Rebate <br />g ng Application 110104GRE <br />