Skip to main content
Electric, Gas, and Water Service Request
* Required Fields
Step 1:
Builder Information
Company Name:
*
Company Phone:
*
Owner/CEO:
*
Owner Phone:
*
Owner email:
*
Contact Name:
*
Contact Phone:
*
Contact email:
*
FAX #:
*
Type
NA
if no FAX #
Step 2:
Subdivision Information
Subdivision Name:
*
Lot# :
*
Address:
*
Total Heated & Future Square Footage:
*
Step 3:
Temporary Service
Temporary Service Needed (Please Check One)
Yes
No
*
Step 4:
Utility Service(s)
Please check the Electric Only Box if you do not need Gas Service:
Both (Electric & Gas)
Electric Only
Step 5:
Electric Service Information:
Entrance Wire
Number of Wires:
*
Wire Size:
*
Pedestal/Socket Type (Please Check One):
S1
S2
CT
(MLGW representative will contact you if CT Metering is required)
Electric Service NOTE
Step 6:
Gas Service Information:
***
Not required if only for Electric Service
Total Connected Gas Load (BTU's):
# of Tankless Water Heaters:
Gas Delivery Pressure(Choose One):
1/4 lbs.
2 lbs.
Note:
The
delivery pressure
is determined by total connected gas load, pipe size, & length of pipe line installed by the mechanical contractor.
Step 7:
Water Service Information:
***
Water areas served by MLGW
Water Service Size (Please Check One if applicable):
3/4 "
1 "
Step 8:
Attach Drawing:
***
Send this file:
Note:
The
maximum size
of the attached file accepted is
300 Kb
. You may only attach files with the following file extensions:
'.pdf', '.tif', '.bmp', 'jpeg', '.jpg', '.png',
and
'.gif'
Step 9:
Contact Required
Please have an MLGW representative contact me prior to design
Contact Required NOTE
