Installation Completed:
Not completed
Inspection Date:

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Date Paid:
Check Number:
Contact Information
Prime Contact Name
Prime Contact Email
Alternate Contact Name
Alternate Contact Email
Site Information
Site Name
Water Agency Name
Did this site previously participate in a rebate program?
Water Account #:
Water Account 2 #:
Water Account 3 #:
Water Meter #:
Water Meter 2 #:
Water Meter 3 #:
Site Address:
Address Line 1
City
Address Line 2
State
Zip Code
Office Address:
Address Line 1
City
Address Line 2
State
Zip Code
The admin reviewing this page confirms they checked this is a non-residential site and verified past program participation and water agency.
Project Proposal
Devices to be installed:
Quantity of each device:
-
Smart Irrigation Controllers -
- Quantity of stations -
$8,400.00
-
High-Efficiency Sprinkler Nozzles -
$0.00
-
Flow Sensors -
$360.00
-
Drip Irrigation -
Square footage -
$0.00
Reserved Amount:
$
Confirm the Installation
List the type of facility in which the devices were installed:
Quantity of each device installed:
-
Smart Irrigation Controllers -
25988.63
$
- Stations -
-
High-Efficiency Sprinkler Nozzles -
$
-
Flow Sensors -
3188.04
$
-
Drip Irrigation -
Square footage -
$
Total Money Spent:
$29,176.67
Potential Rebate Amount:
$8,515.00
Metropolitan Amount:
$
Confirmed!
Brand & Model
Smart Irrigation Controllers
Brand
Model
High-Efficiency Sprinkler Nozzles
Brand
Model
Flow Sensors
Brand
Model
Drip Irrigation
Brand
Model