REQUEST FOR ELECTRIC SERVICE
WORK ORDER NUMBER _________________________
Please submit one form for each job number requested.
| TYPE OF REQUEST: NEW CHANGE REMOVAL |
|Person Completing Form: | |Telephone Number: |( ) - |
|Ratepayer Information: |
| | | |
|(Bill Account Number) | |(Meter Number) for Change Request |
| | | |
|(Ratepayer Name) | |(Ratepayer Phone) |
| | | |
|(Service Address, City, State Zip) | |(Mailing Address for Ratepayer) |
| | | |
|(Township) | |(County) |
|Directions to site: |
|Development’s Name: | |Nearest Neighbor: | |
|Section/Lot#: | |(If Known) |
|Temp: overhead underground or Removal |Your Approx. Ready Date: |
|Perm: overhead underground |Dependent on completion of all requirements by customer and PPL work |
| |schedule. |
|Electrician’s Name: | |Builder’s Name: | |
|Telephone Number: | |Telephone Number: | |
|Nearest PPL Pole or Transformer #: | |
|Distance to PPL Pole: 200 Ft. |
| |
|To Serve: (Single home=1, Double=2, Townhouse=3, Apartment=4, Mobile Home=5, |
| TV Cable=6, Billboard=7, Farm=8, Commerical=9) Type Business: |
| |
|Appliances: 1=Elec Range, 2=Elec Water Heater, 3=Tankless Wtr Htr, 4=Both 1&2, 5=Both 1&3, 6=None |
|Heat Source: Electric Gas Oil |
|Central Air Conditioning : BTUs or, Number of Window Units |
|Electric Heat: Type Load: Sq. footage of heated area |
| |
|Service Entrance Size: Amps Progress: Vacant lot Foundation Framed |
|Meter Base installed? Yes No Inspected? Yes No |
| | |
|COMMENTS: | |A |B |C | |
| | |********************* | |
| | L * | |Rear | |* D |
| | * | | | |* |
|Preferred Meter Location: | K * |Left | |Right |* E |
| |* | | | |* |
| | | | |
|(Final meter location to be determined by PPL designer who will contact you within the| J * | | | |* F |
|next eight work days.) | | | | | |
| | |Front | |
| | |********************* | |
| | |I |H |G | |
| | | | | | |
|Primary Contact Person: |Daytime Telephone#: ( ) - |
| |Best Time To Reach: |
| | |
| (Mailing Address, City, State, Zip) |
|Fax or Mail Job number(s) to: | |
|Signature of Ratepayer: | | |Date: | |
| |
-----------------------
PPL Electric Utilities
827 Hausman Road, Allentown, PA 18104-9392
Fax 484-634-3484 Telephone 1-877-220-6016
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