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Residential Electric Service Request

Section 1 - Applicant / Contact Information

Must include building/house number and street name. Ex: 123 Electric Ave.

Section 2 - Residential Electric Service Request

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

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