Net Metering Interconnection Application & Agreement 100 kW or LessNet Metering Interconnection Application & Agreement • April 12th, 2017
Contract Type FiledApril 12th, 2017Customer Information Name: Contact Person: CPU Account Number: (xxxx-xxx-x) Address: City: State: Zip: Phone: Cell: E-Mail Address: Installer Information Company Name: “same” if customer Contact Person: Address: City: State: Zip: Phone: Cell: E-Mail Address: Tax Exempt: ☐ Yes ☐ No Reseller Permit #: *Please include a copy of the Reseller Permit Generation Facility Information Owner of the Facility: ☐ Customer ☐ Other: Note: Current 3rd Party Owners do not qualify for net metering or the WA State Renewable Energy Production IncentiveLocation (if different from above): Type of Generator:☐ Other: ☐ Photovoltaic ☐ Wind Turbine ☐ Battery Only Phases: ☐ Single-Phase ☐ Three-PhaseSystem Generating Capacity (kW): Voltage: Battery Backup? ☐ Y ☐ N Estimated Install Date: Electrical Permit #: Inverter (for all generation types)Inverter Manufacturer: Model #: Inverter Rating (kW): Quantity: Total kW: Is Equipment UL 1741 Listed? ☐ Y ☐ N*Attach manufacturer’s cut-sheet showing listingSolarPanel