Instructions: Complete this form and submit it to the serving electric utility. Boxes with bold outlines indicate BPA requirements. BUSINESS AND SITE INFORMATION Business Name Site Address State Zip NEW EQUIPMENT INFORMATION Existing Equipment Information DCKV 1 DCKV 2 DCKV 3 DCKV 4 DCKV manufacturer DCKV model number Fan horsepower Yes Yes Yes Yes No (If project is No (If project is No (If project is No (If project is “No”, “No”, “No”, “No”, The control is installed in a kitchen not eligible for not eligible for not eligible for not eligible for incentives) incentives) incentives) incentives) Yes Yes Yes Yes The control is for both primary No (If project is No (If project is No (If project is No (If project is “No”, “No”, “No”, “No”, ventilation and make-up air units in not eligible for not eligible for not eligible for not eligible for the kitchen incentives) incentives) incentives) incentives) Indicate if the control has one or One One One One multiple sensors Multiple Multiple Multiple Multiple What is the minimum fan speed during times of low demand? (for example 70% of normal operating capacity) INSTALLER INFORMATION Company Name Total Installed Cost (before rebate) including equipment, labor, permit and tax By signing this form, I confirm that the above information is correct to the best of my knowledge. Installer Signature Date
Instructions: Complete this form and submit it to the serving electric utility. Boxes with bold outlines indicate BPA requirements. BUSINESS AND SITE INFORMATION Business Name Site Address State Zip NEW EQUIPMENT INFORMATION Existing Equipment Information DCKV 1 DCKV 2 DCKV 3 DCKV 4 DCKV manufacturer DCKV model number Fan horsepower The control is installed in a kitchen Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) The control is for both primary ventilation and make-up air units in the kitchen Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) Indicate if the control has one or multiple sensors One Multiple One Multiple One Multiple One Multiple What is the minimum fan speed during times of low demand? (for example 70% of normal operating capacity) INSTALLER INFORMATION Company Name Total Installed Cost (before rebate) including equipment, labor, permit and tax By signing this form, I confirm that the above information is correct to the best of my knowledge. Installer Signature Date
Commercial_DCKV_PIF_Oct2016.docx