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Proposal # <br />2006 Commercial & Industrial <br />Custom Energy Efficiency Grant Application <br />Elk River .~ Elk River Municipal Utilities <br />Municin al Utilities 13069 Orono Parkway <br />r Elk River, MN 55330 <br />763-441-2020 <br />• • <br />*Name <br />*Address <br />*City, State, Zip <br />*Account Number <br />Address of Installation(if different from above) <br />Name <br />Address <br />City, State, Zip <br />*Contact <br />Tax Payer ID Number <br />*Type of Business <br />*Electric Utility <br />*Customer Signature <br />*Date <br />*Estimated Completion DatE <br />Pre-approved by: <br />Date: <br />Grant Amount: <br />* Required Information <br />1. This program is applicable to the commercial and industrial customers of Elk River Municipal Utilities. <br />2. Customers and vendors must submit itemized equipment invoices along with grant applications, and <br />worksheet. To ensure that the equipment installed meets Elk River Municipal Utilities performance <br />standards, the invoices must include: itemized labor charges, quantity, equipment price, model <br />numbers, manufacturer for all equipment included in the grant. <br />3. Customers must apply for Year 2006 Custom Energy Grants no later than November 30, 2006. <br />4, The installation must be complete before funds will be issued for the grant. <br />5, Elk River Municipal Utilities will inspect all installations. Call 763/635-1330 when complete. <br />6. The customer is responsible for checking with Elk River Municipal Utilities to determine. whether <br />funding is available and to verify that the proposed measure qualifies. Call 763/635-1330 before <br />7. The grant amount shall be limited to 50% of the project cost up to $10,000 or as determined qy Elk <br />River Municipal Utilities. <br />Phone <br />Phone <br />SIC <br />(Great Rlver Energy Key Account Representative) <br />2005 CEEG 110104GRE <br />Page 1 of 3 Applicant Info(1) <br />