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Home » I WANT TO » APPLY OR SIGN UP » Customer Request for Subdivision Electrical Services and Design

Customer Request for Subdivision Electrical Services and DesignJocelyn Facciotti2023-07-06T13:01:09+00:00

Customer Request for Subdivision Electrical Services and Design

Customer Request for Subdivision Electrical Service & Design

Project Information
Name of Project:*
Municipality:*
Legal Description of Property:*
Number of Lots:*
Number of Phases:*
Contacts
Registered Owner:*
First Last
Registered Owner Address:*
Street Address Address Line 2 City Province Postal Code
Registered Owner Email Address:
Registered Owner Phone:
Is there a Consultant Contact on this Project?
- Yes
- No
Consultant Name:
First Last
Consultant Address:*
Street Address Address Line 2 City Province Postal Code
Consultant Contact Email Address:*
Enter Email Confirm Email
Work Phone
Extension
Cell Phone*
Project Type
Project Type*
Note: If your project is NOT a subdivision, please use the Request for Electrical Services Form instead of this form
- Single Family
- Semi-Detached
- Condominium
- Freehold
- Freehold with Condo Elements
- Other
Number of Services:
Meter Bases
- Individual Meter Bases
- Gang Meter Bases
Meter Bases
- Individual Meter Bases
Comments:
Other Requirements
Owner/Consultant to Supply:*
- Digital AutoCad Drawing file with water, sanitary, storm, curb and sidewalk layers
- Approved Municipal Right-of-Way Cross Section
- Civic Numbers
- Easements granted to ERTH Power (if Required)
Terms & Conditions:

Please refer to the ERTH Power website for hydro rates and Conditions of Service
Authorized by:*
First Last
Title:*
Please choose your status:*
Date of Authorization:*
Month
Day
Year
Confirmation*
I hereby certify that I am the registered owner or authorized to act on behalf of the registered owner and that the information given on this form is full and complete and is, to the best of my knowledge, accurate.
Name
This field is for validation purposes and should be left unchanged.

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