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Residential Electric Service Request
Section 1 - Applicant / Contact Information
Project Name/Owner
Street Address
Must include building/house number and street name. Ex: 123 Electric Ave.
Contact
Phone
Email Address
Section 2 - Residential Electric Service Request
Service Type
Overhead
Underground
Main Disconnect Size (Amps)
200A
400A
Other
If Other
Section 3 - Connected Load Summary
Load Description
Qty
kW (Each)
Total kW
Electric Water Heater
Electric Range
Electric Clothes Dryer
HVAC / Heat Pump
Pool Pump / Heater
EV Charger
Other
Certification
I certify that the information provided represents the total known connected electric load.
Date
Submit Request