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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