Solar Water Application

TM

Power Saver

Program Saving Power Together

For Office Use Only:

SOLAR WATER HEATER APPLICATION

Ref. #______________

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 † Commercial † Multi-Family †

Construction: New † Existing †

Installed Cost:

Collector Sq. Ft.:

$___________

_____________

Tank Cap. (gal):

System SRCC kWh Savings (if available):

____________ ___________________

Tank Mfg.: __________________________________________

Solar Collector Mfg.: __________________________________

Model #: ____________________________________________

Model #: ____________________________________________

Location: ___________________________________________

Collector Orientation: __________________________________

Rebate Option: Loan Option*: Home Improvement Loan: Personal Loan:

□ $2,000 Existing Construction

□ $1,500 New Construction

Loan Amount: $ ______________

AE Approval __________ AE Approval __________

□ 3 years – 0% APR □ 5 year – 0% APR □ 7 years – 0% APR □ 10 years – 0% APR □ 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: [email protected] 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