New Construction / Request Electrical Service

Required fields are marked *

Property Type *

Residential

Commercial

Member E-signature - Please type your name *

Date *

Additional Name

Date

Member Name - Name you want account listed under *

Email *

Home Phone

Cell Phone *

New Service Address

Service Address *

City *

Zip *

Billing Address same as Service Address? *

Yes

Billing Address

Name

Billing Address

City

GENERAL CONTRACTOR INFORMATION

General Contractor Name or Company

Phone

Electrical Contractor Information

Electrical Contractor/Company Name

Contact Name

Phone

HVAC Contractor Information

HVAC Contractor/Company Name

Contact Name

Phone

Information About Project

Please fill out all information that applies.

Will You Need Temporary Power?

Yes

Approximate date project will be ready for power? *

Structure Description- Check all that apply

Residential/ Single Family Home

Commercial

Rental Apts

Concrete Slab on Grade

Crawl space

Basement

Farm

Existing Service

Townhome

Mobile/ Manufactured

Outbuilding/Other

Please note any additional information about project here.

Type of Heating/Cooling System Installing

Air/Air Heat Pump with electric backup

Air/Air Heat Pump with Natural Gas backup

Geothermal Heat Pump with electric backup

Electric Boiler System

Mini-Split Heat Pump System

Traditional A/C unit with Propane

Traditional A/C unit with Natural Gas

Is Natural Gas available for use?

Yes

New Construction / Request Electrical Service