800-599-2356

All Services Application
Revised Application

Residential or Commmercial*
(press to select)"
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)
No
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 *
Please be advised the following minimum charges apply on new service applications: Initial Construction Charge  $200,  System Infrastructure Charge $250
I have read and understood the charges
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