Ohop Mutual Light Company - Service Installation Request

Name *

Mailing Address

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Phone *

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Service Address *

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Email *

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Please complete this form to the best of your ability. The more information provided, the more accurate your quote will be.

A complete and accurate site plan must be provided. Your site plan must show locations of the following:

Driveway
Fronting Road & Crossroad (or reference to nearest crossroad)
Septic & Drain field
Nearest Ohop Mutual Pole or Transformer
North Arrow
Proposed Meter Base Location
Lot Dimensions
Distance of Home from Pole or Transformer
Distance of Home from Road

Upload Site Plan * The maximum file size is 10mb (jpg, jpeg, png, pdf, doc)

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Electrical Contractor

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Building Contractor

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Excavation Contractor

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Electrical Contractor Phone

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Building Contractor Phone

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Excavation Contractor Phone

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Tax Parcel #

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Existing mainline facilities are: Overhead Underground

Nearest Ohop Mutual point of connection is (approximate feet away):

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Transformer #

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Nearest Ohop Mutual point of connection is (approximate feet away):

Transformer #

0/5

Subdivision & Lot

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My project requires a temporary service: Yes No

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Comments

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Acknowledgement *

The above information is true and accurate to the best of my knowledge. I understand that if my service information or location changes there may be additional fees.

Blank Site Plan	[ ]	315 kB
Electric Service Handbook	[ ]	272 kB
Service Installation Check List	[ ]	107 kB
Service Installation Request Form	[ ]	127 kB
Sample Site Plan	[ ]	328 kB