Owner Owner Owner's Phone Owner's Email Developer Developer Name Developer Phone Developer Email Arch/Planner Arch/Planner Name Arch/Planner Contact Arch/Planner Contact's Phone Number Arch/Planner Contact's Email Electrical Consultant Electrical Consultant Name Electrical Consultant Contact Electrical Consultant Contact's Phone Electrical Consultant Contact's Email Billing Information Billing Name Billing Address Address Address 2 City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Billing Email Billing Address Phone Location Info Name of Subdivision Town Location in Town Limits? Yes No Section, Township, Range County of Site Number of Lots Number of Units, Multi-Family Size of Development in Acres Average Lot Size Subdivision Information Secondary Information Transformers to be set when primary electric service is installed? Yes No Note If you would like transformers to be set with the primary service, "Residential Applications" must be included with this application (if applicable). The transformers will be installed with the primary but will not be energized until all primary wire is installed and connections are made. No secondary electric service will be processed until all primary wire is installed and connectd. ELECTRONIC SIGNATURE (REQUIRED) Sign above CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.