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2. Company Name*
4. Contact - First Name*
5. Contact - Last Name*
7. Phone Number*
9. Email*
13. Date of Request*
    Date of Request
15. Address*

    Address where the new meter should be installed.

17. Section

    If applicable, input the subdivision section.

18. Lot #

    If applicable, input the subdivision lot number.

22. Meter Box & Setter (photo)*

    Please upload photo(s) of the meter box and setter upon submittal so staff can confirm guidelines are being met prior to arrival. 

24. Meter Box & Setter (photo)
26. Meter Box & Setter (photo)
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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit Submit and Print

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