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Request To Connect New Customer

Requesting Party


Customer


Tap Location

Type of Tap*

Demand Data

Current Total Demand
Projected Total Demand
Customer Class
Demand Profile for Total Non-Temperature Dependent Demand: (Check month(s) and day(s) of typical operation)
Operating Month(s)
Operating Day(s):

Meter/Tap Information (Existing Taps Only)

Meter currently located at mainline take-off?
If yes, meter owned by:
Additions

Checklist Before Submitting

Note: sketches and pictures should be uploaded below.
Note: sketches and pictures should be uploaded below.
Drop files here or
Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB, Max. files: 10.
    This field is for validation purposes and should be left unchanged.