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Energy Eiciency Incenties: InsulatIon upgradeti b f 9/1/10 - bc c

REBATE ELIGIBILITY REQUIREMENTS1) rb i xii wi i

cic c. 2) Cc fw Bpa w-zo pcco ( www.opco.co o c 376-3571).

REBATE APPLICATONFor more information, or help completing this form, call an OPALCO Energy Advisor at (360) 376-3571.

Directions: p i c. Fi b i f i. sc c ib ci f ci

ivic ic i bw. p c f w c.

opalCo aCCount numBer

name reBate CheCk should Be made out to

Full InstallatIon address

mailing address (if different)

daytIme phone

emaIl address

CIty zIp

CIty zIp

ENERGY EffICIENCY INCENTIvE AGREEMENT

dc: Oc Pow & lh Coopv (OPalCO) hby c y p w (cu bu

o o p w o chby o o pcu pupo) h o b pob o

i i wi c i, i b i f ii f

ccy u o h p, o h co o uch qup, bo.

addItIonal CondItIons:

1. avib opalCo ii b. si fi ic, fc i-i bii

wi f i iib. rii c b i bib cii wi i cic

c. a c b opalCo ii cic v civ ii cc.

2. hw ib f ci wi icb c i.

3. Cuo o h wok hv (whou u c coco) y b ubjc o pco by opalCo e avi c i f iciv.

4. Iciv $100 i ci b cc; $100 i ic

b/w b cc.

5. OPalCO v h h o pc y ccy u po o py w

ci ici icb.

6. P ow 6-8 wk o poc py o cv.

InstallIng ContraCtor name + Company name phone

Orcas Power & Light Cooperative - Energy Services

183 Mt. Baker Rd. Eastsound WA 98245 (360) 376-3571 www.opalco.com

FOR OPALCO USE ONLY InItIal __________

aCCt #________________ approVal date __________

amount $__________ g/l ________ a/C _________

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PROJECT DOCUMENTATIONInsulatIon upgrade desCrIpt. reBate

leVel

eXIst / FInal

r-Value

area

sq. Feet

joB Cost reBate

amount

s/F aic I