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Request Type
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___________ Firm
___________ Inquiry |
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Delivery Location: |
_____________New
___________ Existing |
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Delivery
Legal Location (include LSD) : |
_______________________________ |
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Delivery Location Name |
_______________________________ |
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Downstream System Pressure (kPa): |
_______________________________ |
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HP Tap No. (if
applicable) |
_______________________________ |
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Plan Sheet No. (if applicable): |
_______________________________ |
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Customer's Facilities
Ready for Connection date (yyyy/mm/dd) |
_______________________________ |
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Requested In-Service
Date (yyyy/mm/dd) |
_______________________________ |