2021-2022 Central Okanagan Wood Stove Exchange Program
Please attach all required documents
Name of applicant
*
First Name
Last Name
Mailing address (installation address)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
The installation is within the below local government/electoral area:
*
Please Select
Lake Country
Kelowna
West Kelowna
WestBank First Nation
Peachland
RDCO East
RDCO West
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Estimated cords of wood used annually (full cords = 4ft x 8ft.x 4ft.)
*
Building Permit Number- For legal installation all local governments require a Building Permit
*
How did you hear about this program?
*
Please Select
In-store Promotion
Municipal website
Social Media (Facebook, Twitter, Instagram)
Newspaper
Online ad
Word of Mouth
Other
What type of OLD (non-emission certified) wood heating system was REMOVED?
*
Wood stove
Wood Fireplace insert
Outdoor Wood Boiler (OWB)
Wood Furnace
Make/Brand-OLD wood heating removed system
Model-OLD wood heating removed system
What type of NEW heating system was installed?
*
Please Select
Wood stove (stand alone)
Insert
Furnace
Boiler
Heat Pump
Fuel type of the NEW system? All wood/pellet appliances MUST be EPA 2020 certified.
*
Please Select
Wood
Pellet
Natural Gas
Propane
Electric(heat pump)
Other-explain below
If other fuel type explain:
What is the emission rate of the NEW wood/pellet emission certified system? Woodstoves (g/h) or Boilers (lb/mmBtu) Tip- check the user manual of the new appliance to get this information. Write N/A if using a different fuel
*
Make/Brand- NEW heating system
*
Model-New heating System
*
Retailer/Store name
*
Please Select
The Fireplace Den
Ace Fireplace
White's Barbecue and Fireplace Centre
Okanagan Rockworld
The Fireplace Place
Okanagan Home Center
Other retailer (local/online)
The OLD system was recycled by?
*
Name of the company
This application is being filled out by?
Please Select
The retailer
The client
Signature- Retailer or Customer
*
This Central Okanagan Woodstove Exchange application rebate should include the following documents to be considered complete:
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