Common Contracts

INTERCONNECTION REQUEST APPLICATION FORM AND DISTRIBUTED GENERATION INTERCONNECTION AGREEMENT

Interconnection Agreement • February 6th, 2017 • Iowa

• Contract Type
  Interconnection Agreement
• Filed
  February 6th, 2017
• Jurisdiction
  Iowa

INTERCONNECTION CUSTOMER CONTACT INFORMATION *Owner / Company (Legal Entity Name) *Contact Name *Mailing Address *City *State *Zip *Phone No. (Daytime) Phone No. (Evening) Facsimile No. *Email Address ALTERNATE CONTACT INFORMATION (if different from Customer Contact Information) Owner / Company (Legal Entity Name) Contact Name Mailing Address City State Zip Phone No. (Daytime) Phone No. (Evening) Facsimile No. Email Address EQUIPMENT CONTRACTOR *Name *Contact Name *Mailing Address *City *State *Zip *Phone No. (Daytime) Phone No. (Evening) Facsimile No. *Email Address ELECTRICAL CONTRACTOR (if different from Equipment Contractor) Name Contact Name Mailing Address City State Zip Phone No. (Daytime) Phone No. (Evening) Facsimile No. Email Address License No. (if applicable) Active License? (if applicable) YES NO ELECTRIC SERVICE INFORMATION FOR CUSTOMER FACILITY WHERE GENERATOR WILL BE INTERCONNECTED *Capacity (Service Entrance) (Amps) Voltage (Volts) *Type of Service Single Phase Three P