Commercial Online Application

Company/Owner *

Mailing Address *

Mailing Address

Street Address

Address line 2

City

State/Province

Zip/Postal

Contact Person *

Business Phone *

Cell Phone

Email Address *

Enter Email

Confirm Email Address *

Confirm Email

Billing Contact *

Billing Phone *

Lot/Block

Service Address (number/mile and street name/highway)

City

State/Province

Zip/Postal

Nearest Cross Street

Parcel ID # *

Leased/Owned *

Building Description - Select all that apply *

Total Square Footage of Building: *

Total Square Footage of Unit served by meter: *

Lot Readiness - Select all that apply *

Lot Cleared

Framed

Ready for Gas Now

Foundation Backfilled? *

Yes

No

Expected Date *

Delivery Pressure Required *

7" WC (Standard)

2 psig

Check any underground obstructions that apply and indicate on drawing: *

Underground wiring

Oil lines & tank

Well

Septic/Water/Sewer

*No obstructions per Customer

Other (sprinklers, phone, Internet, fiber optic, cable)Other (sprinklers, phone, Internet, fiber optic, cable)