Residential Waterwise Landscaping Rebate ... Residential Waterwise Landscaping Rebate Application Form

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  • Residential Waterwise Landscaping Rebate

    Application Form PLEASE NOTE: YOU MUST HAVE YOUR WATERWISE LANDSCAPE PROJECT PRE-APPROVED BEFORE YOU APPLY

    CALL (951) 826-5485 FOR CONFIRMATION BEFORE BEGINNING YOUR PROJECT.

    Once project is complete, use the form below to fill in your account information and information about your project. Then PRINT THE FORM, SIGN IT, and submit it with all applicable receipt copies to:

    Riverside Public Utilities - Programs & Services - 3750 University Ave. - 3rd Floor - Riverside, CA 92501

    Failure to provide complete customer information, signature(s), model numbers, or receipt copies may result in processing delays. Please allow 8-12 weeks for processing.

    Name on Utility Account Account #

    Zip CodeInstallation Address Phone

    Mailing Address (If different)

    Customer Information

    I certify that I am the owner(s) or tenant(s) of the real property where the improvements have been installed and that I have not previously received, or applied for, other utility financing or incentives for the improvements on this application. I also certify that the foregoing information is true and correct. I understand and agree that the choice of improvements, the selection of contractors, the purchase of items and acceptance of materials used and work performed and the payments thereof is my responsibility. I understand that I will be fully liable for any damage to person or property that may be caused by the installation and/or operation of the equipment involved. I understand that Riverside Public Utilities does not endorse, recommend or make any representations as to specific brands, products, contractors or dealers nor does it guarantee material or workmanship. I further agree to indemnify and hold harmless the City of Riverside, its officers, employees, and agents from any damages related to the installation of the waterwise landscaping.

    Signature of Applicant __________________________________ Date __________

    Signature of Owner _____________________________________ Date _________ (If Applicant is renter or tenant)

    FOR OFFICE USE ONLY

    JL Key 6220209080 Object 45701100 Rebate Amount

    Certification of Delivery Approved for Payment Approved for Payment

    Signature Date Department Head Date Finance Department Date

    RPU Inspector Information: Date Inspected ______________ By __________________________ Notes __________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________

    Waterwise Landscaping Information Square feet of turf area removed

    (must be a minimum of 500 square feet) Square feet of plant cover required (A, divided by 4)

    A. B.

    E-mail

    Residential Waterwise

    Landscaping Rebate 

    Application Form

    PLEASE NOTE: YOU MUST HAVE YOUR WATERWISE LANDSCAPE PROJECT PRE-APPROVED BEFORE YOU APPLY

    CALL (951) 826-5485 FOR CONFIRMATION BEFORE BEGINNING YOUR PROJECT.

     

    Once project is complete, use the form below to fill in your account information and information about your project.

    Then PRINT THE FORM, SIGN IT, and submit it with all applicable receipt copies to:

     

    Riverside Public Utilities - Programs & Services - 3750 University Ave. - 3rd Floor - Riverside, CA 92501

     

    Failure to provide complete customer information, signature(s), model numbers, or receipt copies may result in processing delays.

    Please allow 8-12 weeks for processing. 

    Customer Information

    I certify that I am the owner(s) or tenant(s) of the real property where the improvements have been installed and that I have not previously received, or applied for, other utility financing or incentives for the improvements on this application. I also certify that the foregoing information is true and correct. I understand and agree that the choice of improvements, the selection of contractors, the purchase of items and acceptance of materials used and work performed and the payments thereof is my responsibility. I understand that I will be fully liable for any damage to person or property that may be caused by the installation and/or operation of the equipment involved. I understand that Riverside Public Utilities does not endorse, recommend or make any representations as to specific brands, products, contractors or dealers nor does it guarantee material or workmanship. I further agree to indemnify and hold harmless the City of Riverside, its officers, employees, and agents from any damages related to the installation of the waterwise landscaping.

    Signature of Applicant __________________________________    Date __________

    Signature of Owner _____________________________________   Date _________

    (If Applicant is renter or tenant)

    FOR OFFICE USE ONLY

    JL Key

    6220209080

    Object

    45701100

    Rebate Amount

    Certification of Delivery

    Approved for Payment

    Approved for Payment

    Signature Date

    Department Head Date

    Finance Department Date

    RPU Inspector Information:

    Date Inspected ______________         By  __________________________   Notes  __________________________________________________

    ___________________________________________________________________________________________________________________

    ___________________________________________________________________________________________________________________         

    Waterwise Landscaping Information

    Square feet of turf area removed

    (must be a minimum of 500 square feet)

    Square feet of plant cover

     required (A, divided by 4)

    8.0.1291.1.339988.308172

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