Application and Contract for Electric Facilities Where Full Advance Payment Is Required (Temporary Service) — Southern California Edison (SCE CSD 274) Instructions
This form contains 157 fields organized into 36 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Account / Meter Identification (District/Prefix/Suffix/Effective Date) | ||
| Meter Identification Cycle | Text |
Enter the cycle code associated with the account/meter identification.
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| District Code (Digit 1) | Text |
Enter the first digit of the district code for the account/meter identification.
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| District Code (Digit 2) | Text |
Enter the second digit of the district code for the account/meter identification.
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| Meter Number Prefix | Text |
Enter the prefix portion of the meter number.
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| Meter Number Suffix | Text |
Enter the suffix portion of the meter number.
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| ADDRESS_Row_2 | Text | |
| Effective Date Month | Text |
Enter the month of the effective date for this account/meter identification.
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| Effective Date Day | Text |
Enter the day of the effective date for this account/meter identification.
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| ADDRESS_Row_2 | Text | |
| Effective Date Submitted By | Text |
Enter the initials or identifier of the person who submitted the effective date change.
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| Additional Information | ||
| Additional Information 1 | Text |
Enter the first line of any additional notes or details relevant to this application.
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| Additional Information 2 | Text |
Enter the second line of any additional notes or details relevant to this application.
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| Additional Information 3 | Text |
Enter the third line of any additional notes or details relevant to this application.
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| Applicant Name and DBA | ||
| Applicant Corporate or Individual Name | Text |
Enter the legal name of the applicant (corporation, business entity, or individual) requesting the electric service.
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| Applicant DBA (Doing Business As) | Text |
Enter the applicant’s DBA or trade name, if different from the legal name.
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| Applicant Residence Address | ||
| Applicant Residence Address | Text |
Enter the applicant’s full residence address (street address, and any unit or apartment number).
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| Applicant Signature Block (Date, Signed By, Title, Witness, Office of Origin) | ||
| Applicant Signature Date | Date |
Enter the date the applicant signed this application/contract.
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| Signed By | Text |
Enter the full name of the person signing on behalf of the applicant.
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| Signer Title | Text |
Enter the job title or official position of the person signing.
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| Witness Name | Text |
Enter the full name of the witness to the applicant’s signature.
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| Office of Origin | Text |
Enter the name of the office or department where this application originated.
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| Business / Applicant Identification | ||
| Corporate or Individual Name | Text |
Enter the full legal name of the applicant business or individual.
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| DBA Name | Text |
Enter the business’s “doing business as” (trade) name, if different from the legal name.
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| Business Telephone Number | Text |
Enter the primary telephone number for the business.
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| Completion (Field/BKPG) | ||
| Completed BKPG Date | Date |
Enter the date the back-office/booking (BKPG) work was completed.
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| Completed Field Date | Date |
Enter the date the field work was completed.
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| Completed Field By | Text |
Enter the name or initials of the person who completed the field work.
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| Completed BKPG By | Text |
Enter the name or initials of the person who completed the back-office/booking (BKPG) work.
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| Contract Demand and Excess Transformer Capacity | ||
| Contract Demand (kW) | Number |
Enter the contract demand value for the temporary electric service.
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| Excess Transformer Capacity (kVA) | Number |
Enter the excess transformer capacity value applicable to the service.
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| Credit Department Approval / Date Wanted | ||
| Credit Department Approval | Text |
Enter the name or identifier of the credit department representative approving this request.
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| Date Wanted | Date |
Enter the requested date when the service or action is wanted.
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| Cycle/Book/Folio/Cust. No. Reference | ||
| District | Text |
Enter the district code associated with the account reference.
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| Book | Text |
Enter the book number used as part of the account reference.
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| Folio | Text |
Enter the folio number used as part of the account reference.
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| Cycle | Text |
Enter the cycle identifier used for the account reference.
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| Equipment / Demand Meter Details (Section 6) | ||
| Section 6 - RES (Equipment) | Text |
Enter the value for the RES field in Section 6 to indicate the residential equipment/load information for the premises.
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| Section 6 - W.T.H (Water Heater) | Text |
Enter the value for the W.T.H field in Section 6 to record the water-heater equipment/load information.
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| Section 6 - RANGE | Text |
Enter the value for the RANGE field in Section 6 to record the range/oven equipment/load information.
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| Section 6 - HEAT | Text |
Enter the value for the HEAT field in Section 6 to record the heating equipment/load information.
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| Section 6 - AIR C (Air Conditioning) | Text |
Enter the value for the AIR C field in Section 6 to record the air-conditioning equipment/load information.
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| Section 6 - D.M. PR. RES | Number |
Enter the demand-meter value for the D.M. PR. RES field in Section 6.
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| Section 6 - D.M. RANGE | Number |
Enter the demand-meter value for the D.M. RANGE field in Section 6.
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| Section 6 - D.M. WTR. H | Number |
Enter the demand-meter value for the D.M. WTR. H field in Section 6.
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| Section 6 - D.M. HEAT | Number |
Enter the demand-meter value for the D.M. HEAT field in Section 6.
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| Section 6 - D.M. AIR C | Number |
Enter the demand-meter value for the D.M. AIR C field in Section 6.
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| Equipment to Be Served - First Row (Lighting) | ||
| Lighting Equipment Description | Text |
Enter a description of the lighting equipment to be served (e.g., type or purpose of the lighting load).
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| Lighting Phase | Text |
Enter the electrical phase for the lighting load.
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| Lighting kVA | Number |
Enter the total kilovolt-ampere (kVA) required for the lighting load.
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| Lighting kW | Number |
Enter the total kilowatts (kW) required for the lighting load.
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| Lighting HP | Number |
Enter the total horsepower (HP) required for the lighting load.
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| Equipment to Be Served - Fourth Row | ||
| Fourth Row Equipment Description | Text |
Enter the description of the equipment to be served for the fourth row of the table.
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| Fourth Row Phase | Text |
Enter the electrical phase information for the equipment listed in the fourth row.
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| Fourth Row kVA | Number |
Enter the connected load for the fourth-row equipment in kVA.
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| Fourth Row kW | Number |
Enter the connected load for the fourth-row equipment in kW.
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| Fourth Row HP | Number |
Enter the horsepower rating for the fourth-row equipment.
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| Equipment to Be Served - Second Row | ||
| Second Row - Equipment to Be Served | Text |
Enter the description of the equipment to be served for the second row of the equipment table.
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| Second Row - Phase | Text |
Enter the phase information for the equipment listed in the second row.
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| Second Row - kVA | Number |
Enter the kVA rating for the equipment listed in the second row.
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| Second Row - kW | Number |
Enter the kW rating for the equipment listed in the second row.
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| Second Row - HP | Number |
Enter the horsepower (HP) rating for the equipment listed in the second row.
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| Equipment to Be Served - Third Row (Power) | ||
| Third Row (Power) - Equipment Description | Text |
Enter the name or description of the power equipment to be served.
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| Third Row (Power) - Phase | Text |
Enter the phase configuration for the power equipment to be served.
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| Third Row (Power) - kVA | Number |
Enter the total apparent power rating in kVA for the power equipment to be served.
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| Third Row (Power) - kW | Number |
Enter the total real power requirement in kW for the power equipment to be served.
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| Third Row (Power) - HP | Number |
Enter the total horsepower rating for the power equipment to be served.
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| Estimated Removal/Sum and Salvage Values | ||
| Estimated Removal/Salvage Sum (Written Amount) | Text |
Enter the total estimated amount for removal cost minus salvage value written out in words.
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| Estimated Removal/Salvage Sum (Dollar Amount) | Number |
Enter the total estimated amount for removal cost minus salvage value as a dollar amount.
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| Form of Business Organization | ||
| Sole Proprietorship | Checkbox |
Check this box if the business is owned and operated by one individual and is not incorporated or a partnership.
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| Corporation | Checkbox |
Check this box if the business is legally organized as a corporation (incorporated entity).
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| General Partnership | Checkbox |
Check this box if the business is a general partnership where partners share ownership and management responsibilities.
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| Co-Partnership | Checkbox |
Check this box if the business is organized as a co-partnership (a partnership arrangement between co-owners).
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| Other Business Organization (Specify) | Text |
Enter the form of business organization if it is not one of the listed options (e.g., LLC, nonprofit, trust).
|
| Type of Business | Text |
Describe the type of business activity performed (e.g., processing, manufacturing, retail, services).
|
| Former Business Service Address Reference | ||
| Former Business Service Address Cycle | Text |
Enter the utility/account cycle identifier associated with the former business service address.
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| Former Business Service Address District | Text |
Enter the district code associated with the former business service address.
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| Former Business Service Address Book | Text |
Enter the book reference number associated with the former business service address.
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| Former Business Service Address Folio | Text |
Enter the folio reference number associated with the former business service address.
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| Former Business Service Address CR CD | Text |
Enter the CR/CD reference code associated with the former business service address.
|
| Former Business Service Address | Text |
Enter the complete former business service address being referenced.
|
| General | ||
| BOOK_ | Text | |
| BOOK_ | Text | |
| BOOK_ | Text | |
| FOLIO_Row_1 | Text | |
| FOLIO_Row_1 | Text | |
| FOLIO_Row_1 | Text | |
| FOLIO_Row_1 | Text | |
| CUST. NO._Row_1 | Text | |
| CUST. NO._Row_1 | Text | |
| Hours of Operation / Square Footage | ||
| Hours of Operation | Text |
Enter the business hours of operation for the service location.
|
| Square Footage | Number |
Enter the total square footage of the premises.
|
| Immediate Previous Edison Service Address (Section 7) | ||
| Section 7 Previous Edison Service Address | Text |
Enter the full street address for the immediate previous Edison service location.
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| Section 7 Installation Code | Text |
Enter the installation code associated with the immediate previous Edison service address.
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| Section 7 Location Code | Text |
Enter the location code associated with the immediate previous Edison service address.
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| Section 7 Multiple Accounts Code | Text |
Enter the multiple-accounts indicator/code for the immediate previous Edison service address.
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| Section 7 Copies | Text |
Enter the number of copies requested/required for this service record.
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| Section 7 Work Order Code | Text |
Enter the work order code tied to the immediate previous Edison service address, if applicable.
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| Section 7 City | Text |
Enter the city for the immediate previous Edison service address.
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| Internal Routing / Accounting Codes | ||
| Return to Accounting Code | Text |
Enter the internal code or notation indicating how this form should be routed/returned to the Accounting department.
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| Internal Routing / Accounting Reference | Text |
Enter any internal routing or accounting reference code associated with this request.
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| FSR Area Number | Text |
Enter the F.S.R. area number used for internal routing/accounting purposes.
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| Mailing Address (Section 8) | ||
| Section 8 Mailing Address Line 1 | Text |
Enter the first line of the Section 8 mailing address (e.g., street address or P.O. box).
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| Section 8 Mailing Address Line 2 | Text |
Enter the second line of the Section 8 mailing address (e.g., apartment, suite, unit, or additional address information).
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| Section 8 Mailing Address Line 3 | Text |
Enter the third line of the Section 8 mailing address (e.g., city and state or any remaining address details).
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| MAILING ADDRESS_Row_2 | Text | |
| Section 8 Mailing Address ZIP Code | Text |
Enter the ZIP code for the Section 8 mailing address.
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| Meter Read / Deposit / Demand Read (Section 6) | ||
| Section 6 Name | Text |
Enter the name associated with this meter read/deposit/demand read record.
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| Section 6 Meter Read | Number |
Enter the meter reading value.
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| Section 6 CR. CD | Text |
Enter the CR. CD code shown for this account or service.
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| Section 6 SP HND | Text |
Enter the SP HND (special handling) code or notation for this service.
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| Section 6 DP REQ | Text |
Enter the DP REQ (deposit required) indicator or code.
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| Section 6 Deposit Amount | Number |
Enter the deposit amount required for the service.
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| Section 6 By H.L. | Text |
Enter the initials or identifier for the person marking the entry as 'By H.L.'.
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| Section 6 GSP | Text |
Enter the GSP value or code for this service.
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| Section 6 Demand Read | Number |
Enter the demand reading value.
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| Order Taken | ||
| Order Taken At | Time |
Enter the time when the order was taken.
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| Order Taken By | Text |
Enter the name or identifier of the person who took the order.
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| Order Taken Date | Date |
Enter the date when the order was taken.
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| Owner of Premises Contact | ||
| Owner of Premises Name | Text |
Enter the full name of the owner of the premises.
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| Owner of Premises Telephone Number | Text |
Enter the telephone number for the owner of the premises.
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| Owner of Premises Address | Text |
Enter the street address for the owner of the premises.
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| Owner of Premises Address (Line 2) | Text |
Enter any additional address details for the owner of the premises, such as city, state, ZIP code, unit, or suite.
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| Partner/Officer (First Entry) | ||
| First Entry Partner/Officer Name | Text |
Enter the full name of the first listed partner or corporate officer.
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| First Entry Partner/Officer Address | Text |
Enter the mailing address for the first listed partner or corporate officer.
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| First Entry Partner/Officer Telephone Number | Text |
Enter the telephone number for the first listed partner or corporate officer.
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| Partner/Officer (Second Entry) | ||
| Second Partner/Officer Name | Text |
Enter the full name of the second partner or corporate officer.
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| Second Partner/Officer Address | Text |
Enter the mailing address for the second partner or corporate officer.
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| Second Partner/Officer Title | Text |
Enter the job title or position held by the second partner or corporate officer.
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| Second Partner/Officer Telephone Number | Text |
Enter the telephone number for the second partner or corporate officer.
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| SCE Approval Signature (Manager) | ||
| SCE Approval Signature (Manager) - By | Text |
Enter the name of the SCE manager (or authorized representative) approving and accepting the application on behalf of Southern California Edison.
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| Service Address | ||
| Service Address Street | Text |
Enter the street address where service is provided (street number and street name).
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| Service Address Post Office | Text |
Enter the service address post office information, such as a P.O. Box number if applicable.
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| Service Deposit Information | ||
| Deposit Number | Text |
Enter the identifier or reference number assigned to the service deposit.
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| Deposit Amount | Number |
Enter the dollar amount of the service deposit.
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| Service Deposit Date | Date |
Enter the date associated with the service deposit.
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| Applicant Initials | Text |
Enter the applicant’s initials to acknowledge the service deposit information.
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| Service Location Address (Section 6) | ||
| Section 6 Service Address Street | Text |
Enter the street address for the service location (house number and street name).
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| Section 6 Service Address Apt No. | Text |
Enter the apartment, unit, or suite number for the service location, if applicable.
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| Section 6 Service Address Post Office | Text |
Enter the post office/city associated with the service location address.
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| Section 6 Service Address City | Text |
Enter the city for the service location address.
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| Section 6 Service Address State | Text |
Enter the state for the service location address.
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| Section 6 Service Address ZIP Code | Text |
Enter the ZIP code for the service location address.
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| Service Request Details (Type/Schedule/Cross Street/Meter Order/Load Check) | ||
| Service Type - Light | Text |
Enter the requested service type value associated with the “LIGHT” option.
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| Schedule | Text |
Enter the service schedule or timing information for the requested work.
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| Nearest Cross Street | Text |
Enter the nearest cross street to the service location.
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| Service Type - Power | Text |
Enter the requested service type value associated with the “POWER” option.
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| Meter Order Number | Text |
Enter the meter order number associated with this service request.
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| Service Type - New Set | Text |
Enter the requested service type value associated with the “NEW SET” option.
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| Load Check | Text |
Enter the load check details or reference information for this service request.
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| Service Schedule (Hours and Months) | ||
| Service Schedule Hours | Number |
Enter the total number of hours of temporary electric service requested under this schedule.
|
| Service Schedule Months | Text |
Enter the minimum number of months that temporary electric service is requested for under this schedule.
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| Service Voltage, Connected Load, and Estimated Max Demand | ||
| Service Voltage | Text |
Enter the service voltage to be provided for the temporary electric service.
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| Connected Load | Number |
Enter the total connected electrical load for the equipment to be served.
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| Estimated Max Demand | Number |
Enter the estimated maximum electrical demand expected for this temporary service.
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| Work Order / Lookup Numbers | ||
| Lookup Number | Text |
Enter the lookup number used to identify or reference this request in the utility’s system.
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| D.W.O. Number | Text |
Enter the D.W.O. (work order) number associated with this job or service request.
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| C.W.O. / C.J.O. Number | Text |
Enter the C.W.O. or C.J.O. number associated with this work order or job order.
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