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New Construction Gas Service Application

New Construction Gas Service ApplicationNew or Future Home or BuildingConversion of Existing Home or BuildingStandby Service Line Tap (for gas well consumers)Add Equipment - Increase LoadRemove Equipment - Decrease LoadSubdivide Property - Split LoadRelocate Existing Service Line Tap (fees may apply)ResidentialSingle Family HomeCondo/TownhouseCommercialApartmentsM obile HomeYesNoIndustrialRetail/OfficeGarageLo t Plan DevelopmentManufacturingOtherIf Yes, Business Partner ID#Natural Gas EquipmentFurnace(s)Water Heater(s)QtyExistingExisting*To accurately size meter(s), the BTU/h rating of all existing and proposed equipment must be listed.

M o n d a y -F rid a y 8 :0 0 a m- 4 :0 0 pm, EST. Page 3 A dditional Project Details Project Title B u ild e r/D e ve lo per N ame Preferred Project Contact Contact Name Contact Phone Ho w w ould you like to receive correspondence? U S P S M a il E -m a il Mailing Address City, State, Zip E -mail A d d itio n al Co m me n ts:

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  Services, Applications, Construction, Itio, Itio n, New construction gas service application

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