GRAND MARAIS PUBLIC UTILITIES
GRAND MARAIS PUBLIC UTILITIES
NEW SERVICE APPLICATION
_________________________________________________________________________________________________
NAME
_________________________________________________________________________________________________
BILLING ADDRESS
_________________________________________________________________________________________________
STREET ADDRESS
_________________________________________________________________________________________________
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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