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Elk River <br />Municipal Utilities <br />2006 Commercial 1 Industrial <br />Adjustable Speed Drive (ASD) Rebate Application <br />Elk River Municipal Utilities <br />13069 Orono Parkway <br />Elk River, MN 55330 <br />Business Name: <br />Customer Signature: Date: <br />•~- •- • <br />Vendor Name: <br />Mailing Address: <br />City, State, ZIP <br />Contact Name: Phone: <br />-• ~ ~ •- • <br />End Use Application ASD HP <br />(Nameplate) Motor HP <br />(Nameplate) lNodel Number Operating <br />Hrs/Yr. QTY HP <br />ea s40tHP Rebate <br /> $ 40.00 $ - <br /> $ 40.00 $ - <br /> $ 40.00 $ - <br /> $ 40.00 $ - <br /> $ 40.00 $ - <br /> $ 40.00 $ - <br /> $ 40.00 $ - <br /> $ 40.00 $ - <br /> $ 40.00 $ - <br />Total Rebate $ - <br />**Total Project Cost® <br />"Required Information. Rebate amount shall be limited to 50% of the protect cost up to $10,000. <br />Adjustable Speed Drive (ASD) Motor Rebate = $40/hp. ERMU retains the right to make adjustments to correct incentive calculations <br />if necessary. Energy savings calculations are estimates and may vary from actual results. See page 1 for ASD rebate rules and <br />specific guidelines <br />Important: A copy of this completed application andinvoice(s) is required before ERMU will issue incentives. <br />Utility Representative: Date: <br />This- space fer Great Rfver Energy Use Only <br />GRE Account Code:10550-912180-0000 <br />GRE Representative: Date: <br />2 of 2 2005 Adjustable Speed Drive Rebate Application 110104 GRE <br />