GRAND MARAIS PUBLIC UTILITIES



GRAND MARAIS PUBLIC UTILITIES

NEW SERVICE APPLICATION

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NAME

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BILLING ADDRESS

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STREET ADDRESS

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CITY, STATE, ZIP CODE

The abovementioned Customer has made an application for the services listed and agrees that payment of all required fees will be made prior to construction on the premises or before a building permit will be issued.

ELECTRIC:

SINGLE PHASE

__________ $100.00 – 100 amp service

__________ $100.00 – 200 amp service

__________ $250.00 – 320 amp service

THREE PHASE __________ $500.00

SINGLE PHASE CT METERING __________ $500.00

OFF PEAK ELECTRIC __________ $225.00

DUAL FUEL ELECTRIC __________ $225.00

WILL THIS BUILDING HAVE ELECTRIC HEAT? Yes______ No ______ If yes, what type of electric heat will this building have? ____________________________ Example, baseboard, electric boiler.

Application fees include the first 150’ of overhead wire installed or the first 50’ of underground wire installed. For underground service, the Customer will provide a trench to our specs.

WATER:

CONNECTION FEE __________ $300.00

FACILITY FEE __________ $1000.00

SEWER:

CONNECTION FEE __________ $300.00

FACILITY FEE __________ $1000.00

Installation costs that exceed the connection fees will be billed to the Customer.

FILLING FEE: __________ $75.00

________________________________________________________ __________________________

CUSTOMER DATE

________________________________________________________ __________________________

CUSTOMER DATE

TOTAL AMOUNT PAID _____________________________

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