Employee Nbr:
(for SDGE employee use only.)
PROJECT INFORMATION
Service Address:
Street
City
State Zip
Assessor's Parcel Nbr:
(if no Service Addr)
Cross Street:
Thomas Bros:
(mappage & grid)
Estimated date when project
site will be ready for service:
/
/
MM/DD/YY
Project Type:
-- Select One --
Single Family Residential
Apartment/Condo
Commercial
Other
DPSS#:
Project Site Hazard:
--Select One--
None
Dog
Vicious Dog
Type of Service
Being Requested:
--Select One--
Electric
Gas
Both Gas & Electric
CUSTOMER INFORMATION
Name:
Customer Type:
-- Select One --
Owner
Tenant
Other>
Check this box, if Customer's Mailing Address is the same as Service Address.
Mailing Address:
Street
City
State Zip
Phone Nbr:
-
-
ext
Email Addr:
CONTACT INFORMATION
Check this box, if customer will be the contact person.
Name:
Representative Type:
-- Select One --
Electrician
Plumber
Gen'l Contractor
Customer Representative
Customer or Tenant
Other, pls explain below.
Other, pls explain:
Mailing Address:
Street
City
State Zip
Phone:
-
-
ext
Email Addr:
Fax Nbr:
-
-
Cell Phone:
-
-
Pager:
-
-
ELECTRIC DATA
Overhead
Underground
Meter Number:
Approximate Building
Square Footage:
Voltage:
-- Select One --
120
120/208
120/240
240
240/280
277/480
480
Unknown
Phase:
-- Select One --
Single
Three
Unknown
Main Panel Size:
-- Select One --
100 AMP
125 AMP
200 AMP
225 AMP
400 AMP
600 AMP
800 AMP
1000 AMP
1200 AMP
1600 AMP
1800 AMP
2000 AMP
2500 AMP
3000 AMP
3500 AMP
4000 AMP
Unknown
Service Type:
-----Select One-----
New Service
Service Rewire/Upgrade
Temporary Service
Temp Service/Permanent Base(TSPB)
Service Removal/Bldg Demolition
OH to UG Conversion
Disconnect/Reconnect (JT Meet Reqd)
Other (Explain in Comment Section
)
Transformer#:
Load -- Enter Applicable Information:
Lights:
KW
Water Heater:
KW
Dryer:
KW
Range:
KW
Air Condition:
Tons
Well Pump:
HP
Heat:
KW
Largest Motor:
HP
Other:
KW
GAS DATA
Type:
-- Select One --
New Service
Service Relocation
Service Removal
Raise/Lower Meter
Propane to Natural Gas Conversion
Other (Explain in Comment Section)
Meter Number:
Requested Service Pressure:
-- Select One --
1/4##
5##
Other (Explain in Comment Section)
Unknown
Load -- Enter Applicable Information:
Cooking:
BTU
Pool Heater:
BTU
Barbeque:
BTU
Space Heater:
BTU
Boiler:
BTU
Other:
BTU
Water Heater:
BTU
Spa Heater:
BTU
Dryer:
BTU
Loglighter:
BTU
Comment
Note: Check with the county or your local municipality for permit requirements and call 1(800) 411-SDGE (7343) to setup your billing account.