Solar Water Application
Solar Water Application
Solar Water Application
Power Saver Program Saving Power Together For Office Use Only:
Ref. #______________
SOLAR WATER HEATER APPLICATION
Customer
Name: __________________________________ Installation Address: _________________________________________________
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 $___________ _____________ ____________
___________________
Rebate Option: □ $2,000 Existing Construction □ $1,500 New Construction AE Approval __________
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