Solar Water Application

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TM

Power Saver Program Saving Power Together For Office Use Only:

Ref. #______________
SOLAR WATER HEATER APPLICATION
Customer
Name: __________________________________ Installation Address: _________________________________________________

Mailing Address (if different): __________________________________________________________________________________

Electric Account #: ________________________________________ Email Address: _____________________________________

Day Phone #: (____) _____________________


Contractor/Installer
Name: _____________________________________________________________________________________

Contact Person: _____________________________________ Email Address: ___________________________________________

Installer’s Address: ____________________________________________________ Ph. Number: (____) _____________________

City, State & Zip Code: _________________________________________________ Fax Number: (____) ____________________
Equipment/Installation
Residential † Construction: Installed Cost: Collector Sq. Ft.: Tank Cap. (gal): System SRCC kWh Savings
Commercial † New † (if available):
Multi-Family † Existing † $___________ _____________ ____________
___________________

Tank Mfg.: __________________________________________ Solar Collector Mfg.: __________________________________


Model #: ____________________________________________ Model #: ____________________________________________
Location: ___________________________________________ Collector Orientation: __________________________________

Rebate Option: □ $2,000 Existing Construction □ $1,500 New Construction AE Approval __________

Loan Option*: Loan Amount: $ ______________ AE Approval __________


Home Improvement Loan: □ 3 years – 0% APR □ 5 year – 0% APR □ 7 years – 0% APR □ 10 years – 0% APR
Personal Loan: □ 3 years – 2.0% APR □ 5 year – 2.0% APR
*Loan Option is available for existing homes only. For customers with a credit score of 639 or below, 2% will be added to the interest rates above.

I certify that the above listed solar water heating system meets the program guidelines and requirements of the Solar Water Heater
Program and that all documentation submitted is true and correct to the best of my knowledge.

_____________________________________________________________________________________________________________________________________
Vendor/Contractor Signature Date

Austin Energy – Power Saver Program – SOLAR Rebate


811 Barton Springs Road, 3rd Floor. Austin, TX 78704. Phone (512) 482-5346. FAX (512) 482-5409
email: solarrebate@austinenergy.com website: www.austinenergy.com

Solar Water Heater Application Revised 10/01/07


Austin Energy Solar Water Heater Site Sketch

Solar Water Heater - Site Sketch


The site sketch should provide a descriptive idea of the structure’s orientation, roof
slopes, solar obstructions, proposed collector location and electrical service entrance.
Please include all these items in your drawing.

Solar Water Heater Application Revised 10/01/07

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