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 *