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Residential Service Application Form

Permanent Service Request

Yes

Date Service Requested By:

Electric Department to send correspondence to:

Name of Company/Homeowner:

Attention:

Address:

Business Phone No:

Cellular:

Email Address:

Invoice(s) to be sent to Above Contact Party?

Yes

Address to be Serviced:

City/Town

Postal Code

Is it a Rural Address

Yes

Invoice Mailing Details (if different than above)

Purchase Order / Job no

Owner / Company:

Owner Company's Email address:

Owner's / Company's Address:

Contact No:

Electrical Contractor:

Contractor's Ph No:

Contractor's Email address:

Residential Permanent Service

New Service

Change to Existing Service

Service Type

Required Voltage

Type of Building:

Main Breaker Amperage:

Customer must provide the following:

Site Plan:

Scaled or dimensioned drawing showing residence location on lot and proposed location of meter base on exterior wall of building. Indicate doors and windows in vicinity of meter base location. For underground services, show landscaping along proposed alignment for service drop.

Please upload all your documents here

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

File Uploads: A file over 15MB in size will not be accepted. Please resize or lower the quality of the file prior to upload.

Service Installation: To request a date for service to be “dug in”, call 403-529-8262.

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Residential Service Application Form

Electric Department to send correspondence to:

Invoice Mailing Details (if different than above)