Homeowner Name(Required) First Last Mailing Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth Dakota北马里亚纳群岛OhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Site Address(Required) 与通讯地址相同 Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth Dakota北马里亚纳群岛OhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone(Required)REC Account Number(Required) Installer Name(Required) Installer Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth Dakota北马里亚纳群岛OhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone(Required)Site Address(Required) 与公司地址相同 Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth Dakota北马里亚纳群岛OhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code 要求和规格 措施包括地源热泵升级或改造,带或不带减温器,必须满足以下要求和规范: • 系统必须通过能源之星认证. • 系统必须由国际地源堆泵协会(IGSHPA)认证的持牌承包商安装。 . 可以雇用多个技术人员来满足这些认证要求, 但它们必须在安装过程中出现才有资格. • 系统必须按照IGSHPA指南安装. 所有系统组件必须重新安装. 更换现有的地源热泵热交换回路不符合奖励条件. Applicable home types: • 新建单户住宅 • 现有建筑单户 地源热泵升级适用于以下情况: • 更换现有的空气源热泵. • 更换分区电. • 更换无管道热泵(被认为是分区系统). • 更换非电加热系统(如 .g .(天然气、石油或丙烷) . • 仅更换压缩机部分(压缩机部分包括压缩机), a heat exchanger, 膨胀阀和换向阀, piping connections, 当压缩机部分达到能源之星时,现有地源热泵系统的控制连接)符合升级措施的条件. • 新建独户住宅安装地源热泵. • 在现有单户住宅中安装地源热泵(HZ 2) & 3)没有原有的一次供热系统 . 地源热泵转换适用于以下情况: • 取代电炉, • 更换用于强制空气循环加热或区域辐射热的电锅炉 . 每户只有一台地源热泵符合BPA支付标准, 前提是满足所有其他课程要求 . 如果满足所有IGSHPA规范,地源热泵可以连接到住宅终端应用的水力加热系统 .Manufacturer(Required) GSHP Size (in Tons)(Required) Loop type(Required) Horizontal Vertical Closed Open Pipe length(Required) Model Number(Required) 减温器安装?(Required) Yes No Building Size & Type总空调平方英尺(Required) New Construction:(Required) Yes No Existing Heat Source:(Required) 日期系统通电:(Required) 你们有备用供暖系统吗?(Required) Yes No Back-up Heating SystemStrip Heat in Plenum(Required) Electric Baseboard(Required) Other (specify) HiddenSubmeter Installed? Yes No Hidden安装日期: Equipment, Design, & 安装标准 所有新的和改造的地热热泵 系统必须由PTCS和IGSHPA认证的技术人员安装. A list of Certified 技术人员可以在我们的网站上找到. Closed Loop and 开环地热热泵系统 must be ENERGY STAR and 根据2015年10月1日BPA PTCS/GSHP系统安装标准进行安装. In new 系统管道施工 must 符合2012年IECC蒙大拿州住宅能源法规第R403节规定的所有规范和标准, effective November 7, 2014.完成奖励装置协议所需的信息销售建议书和AHRI证书复印件 must 包含在本协议中.上传附加材料(Required) Drop files here or Select files Max. file size: 499 MB. Consent(Required)随信附上一份销售计划书 我已附上安装的ASGTHP的AHRI证书副本 该系统已由国际地源堆泵协会(IGSHPA)认证的持牌承建商安装。 我/我们了解地热系统的变化可能会使其失去参与项目的资格 本人/吾等明白并同意遵守本协议所要求的规格及提供资料. 如未能遵守本协议,本人/吾等将丧失获得计划奖励的资格. 本人/吾等明白,安装人员有责任按照所有要求安装系统 适用的法规,并且Ravalli Electric Co-op不承担因系统的安装和操作而产生的责任. 奖励或回扣如有更改,恕不另行通知 本人谨此确认所填写之资料属实及完整,并同意有关条款及细则. 我通过输入我的全名并按下提交按钮来理解这一点, 此表格提交将加盖今天的日期,并由我授权,就像我已经签字一样.申请人电子签名(全称)(Required) Comments该字段用于验证目的,应该保持不变.