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All Services 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