实用程序的名字(必需) 房主的名字(必需) 网站地址(必需) 街道地址 地址线2 城市 州/省/地区 邮政编码 房主玛雅吧软件(必需)业主电邮地址(必需) 房屋/单位平方英尺(必需) 如未知，请估计Eligible existing heating system being displaced:(必需) 纬向 电液体循环加热的 电炉 Eligible home types (please select one)(必需) 现有的独栋 现有的生产 新制造的 纬向 includes zonal hydronic systems. For electric hydronic upgrades, claim as zonal if heat distribution is through in-floor radiant or wall radiators, and claim as an existing forced-air furnace if distribution is through a duct system. Existing single-family residential additions where the primary electric or nonelectric system’s duct work has not been extended to the addition and/or where the current heating source in the addition is electric zonal are eligible for a DHP. Otherwise this rebate will not apply. To be eligible for incentive payment under the BPA program the home must have permanently installed zonal electric resistance heat or an electric resistance forced air furnace as the primary heating system. A qualifying home cannot: (i) be new construction, (ii) have a fossil fuel central forced air or fossil fuel hydronic heating system, nor (iii) have a ducted heat pump system. The undersigned utility customer requests and authorizes the specified utility to release billing and usage information for the account listed below to the BPA or its agent. 有了这个授权, the BPA can request billing information for up to two years pre -installation and two years post-installation. The utility customer also hereby releases the utility company from any and all liability arising from or connected with providing this information. The homeowner also agrees to the terms and conditions listed on the back of this form. 账户持有人姓名(必需) Electric Utility Account Number(必需) 安装信息承包商公司名称:(必需) 安装日期(必需) MM / DD / YYYY 总安装成本(必需) Including: equipment, labor, electrical, tax, permit and other (prior to rebate)Total number of outdoor units installed(必需) Total number of indoor units installed(必需) 室外机制造商(必需) 室外机型号(必需) AHRI认证参考编号(必需) 室内机1(必需) 室内机1号机型(必需) 附属室内单元2 室内机2号机型 附属室内单元3 室内机3号机型 附属室内单元4 室内机4号机型 Include a copy of the job sales invoice for proof of installation(必需) 在此删除文件或 选择文件 马克斯. 文件大小:499mb. 条款与条件(必需) I agree to the 条款与条件条款与条件 OFFICIAL FORM: This form and any required additional documentation, including installation invoice, 必须填写完整吗, 如实, 而准确地. Project details, including incentives, are subject to change without prior notice. HOMEOWNER ELIGIBILITY: To be eligible for incentive payment, the home must have permanently installed zonal electric resistance heat as the primary heating system. A qualifying home cannot: (i) be new construction, (ii) have a fossil fuel central forced air or fossil fuel hydronic heating system, nor (iii) have a ducted heat pump system. SYSTEM ELIGIBILITY: To be eligible for incentive payment, ductless heat pumps installed must be: a split system heat pump employing an inverter-driven, 变速压缩机, 变速室外风机, and a multi-speed or variable speed indoor blower. Additionally, indoor units using any type of field installed duct system are NOT eligible. CONTRACTOR ELIGIBILITY: Contractors must be licensed, bonded and insured. VERIFICATION AND INSPECTION: Participating homes are subject to random onsite inspections in order to verify that installations meet Manufacturer specifications and that the home meets eligibility guidelines. You may be contacted by phone or email to schedule an inspection. No warranty is implied by this inspection. TAX LIABILITY: Neither the utility, BPA, nor the contractor is responsible for any tax liability, which may be imposed on the Participant as a result of payment of any incentives or as a result of obtaining financing. SAFETY AND BUILDING CODES: The Participant agrees to pursue compliance with federal, 状态, and local building and environmental codes for the installation of this product. The contractor certifies products have been installed consistent with manufacturer instructions. PROPERTY RIGHTS: The Participant must have proper authority to install the ductless heat pump system on the designated property or has obtained any necessary consent from the landlord. ACCESS AND EVALUATION: The Project and its representatives may request access to the property on which the ductless heat pump system was installed to review and evaluate the system during and after Project completion. The Participant agrees to provide reasonable access to the property for the purposes described herein. In addition, the project may contact the participant for survey participation and project feedback. REFRIGERANT LINE PROTECTION: At the time of installation, contractor must protect all exterior, 绝缘制冷剂管路. Protection is either UV resistant tape wrapped around 绝缘制冷剂管路 or rigid line hides installed over 绝缘制冷剂管路.
