All Services Application

Residential or Commmercial* (press to select)

Commercial

Residential

Name(Builder or Owner/Builder)*

Phone*

LCEC Account Number*

Billing Address1*

Billing Address2

Billing City*

Billing Zip*

Billing Email

Service Address1*

Service Address2

Service City*

Service Zip*

Service Strap *

Service Block *

Service Lot *

Service Subdivision

Renewable Generation Present (press to select)

Service Description*
(additional data fields may appear)

Service Requested*
(additional data fields may appear)

Permit Number*

Main Panel Size*

Voltage Description*

A/C Square Footage *

A/C Units-Number *

A/C Units-Size(s) *

Heat Strip Size(s)

Field Supervisor *

Field Supervisor Phone *

Electrician Name *

Electric Office Phone *

Electrician Cell Phone