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rebate application - Puget Sound Energy

By Gilbert Matthews,2014-01-09 11:38
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rebate application - Puget Sound Energy

    LIGHT EMITTING DIODE (LED) TRAFFIC SIGNALS INCENTIVE APPLICATION

    PSE ENERGY CONSERVATION SCHEDULE 257

    This application is available to all cities, counties and state agencies with electricity provided by Puget Sound

    Energy for traffic signals.

TAX STATUS (Check one)

     Corporation NonCorporation Exempt TAX ID

    Attach a list of intersection addresses and corresponding PSE account numbers for each intersection.

    NAME OF PSE CUSTOMER ACCOUNT PHONE NUMBER

NAME OF CONTACT PERSON, TITLE FAX NUMBER

    MAILING ADDRESS OF CONTACT PERSON CITY STATE ZIP CODE

Caution: Read product requirements on the back of this application before completing the information below. Contact your PSE Program Mgr. at 425-456-2936 to verify availability of funding. Applications will be accepted on a firstcome, firstserved basis through December 2007 or until funds are depleted.

    LIGHT EMITTING DIODE (LED) TRAFFIC SIGNALS

    TYPE OF SIGNAL MAXIMUM WATTAGE TOTAL QUANTITY INCENTIVE PSE INCENTIVE ESTIMATED UNIT

    PERMITTED PURCHASED A AMOUNT/UNIT B COST - D C = A x B 12” Red Ball 25 watts $ 10.00 each

    15 watts $ 10.00 each 12” Red Arrow

    15 watts $ 10.00 each 8” Red Ball

    10 watts $ 10.00 each Red Ped. Crossing Signal

    15 watts $ 20.00 each 12” Green Ball

    15 watts $ 20.00 each 8” Green Ball

    15 watts $ 20.00 each 12” Green Arrow

    25 watts $ 5.00 each Yellow Module Any Size* *Yellow signals only eligible if replaced with red and green Total: modules in the same signal head.